Organization Active NPI

Barbara W. Gustin, LMSW, LLC

  • Social Worker
  • Kalamazoo, MI
National Provider Identifier
1023541612
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
BARBARA W. GUSTIN, LMSW, LLC
Practice address
2001 Hudson Ave
Kalamazoo, MI 49008-1889
Phone
(269) 352-6644
NPI assigned
Apr 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Barbara Gustin, L.M.S.W.NPI 1346206521
Title
Owner
Phone
(269) 352-6644

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

2001 Hudson Ave
Kalamazoo, MI 49008-1889

Mailing address

2750 Bronson Blvd
Kalamazoo, MI 49008-2361
Phone (269) 352-6644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170425001496 MI Part B Supplier - Clinic/Group Practice 7719264902 Receives reassigned benefits from 1 practitioner
Practice locations: Kalamazoo, MI

National Provider Directory

National Provider Directory

Locations

605 Howard St
Ste 4
Kalamazoo, MI 49008
Phone (269) 352-6644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1023541612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2750 BRONSON BLVD",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082361",
            "telephone_number": "269-352-6644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 HUDSON AVE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490081889",
            "telephone_number": "269-352-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA W. GUSTIN, LMSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "GUSTIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-352-6644",
        "authorized_official_credential": "L.M.S.W."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.