Active NPI
Hope Marie Gustafson, LMSW
- Social Worker
- Brandon, MS
National Provider Identifier
1083593099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- M11471
- Practice address
- 767 Bearing Way
Brandon, MS 39047-2301 - Phone
- (601) 466-0024
- NPI assigned
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M11471 | MS | MD | Social Worker |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M11471 | MS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
767 Bearing Way
Brandon, MS 39047-2301
Mailing address
767 Bearing Way
Brandon, MS 39047-2301
Phone (601) 466-0024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 2, 2025.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1083593099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "767 BEARING WAY",
"city": "BRANDON",
"state": "MS",
"postal_code": "390472301",
"telephone_number": "601-466-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "767 BEARING WAY",
"city": "BRANDON",
"state": "MS",
"postal_code": "390472301",
"telephone_number": "601-466-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUSTAFSON",
"first_name": "HOPE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MS",
"license": "M11471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.