Individual provider Active NPI

Cleasther Riggs-Gustus, LCSW

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1083750566
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004230 Issued in NC
Practice address
3010 Trent Rd
New Bern, NC 28562-5735
Phone
(252) 636-0001
Fax
(252) 636-2211
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004230 NC Primary

Addresses

Primary practice location

3010 Trent Rd
New Bern, NC 28562-5735

Mailing address

1908 Chestnut Ave
New Bern, NC 28562-6214
Phone (252) 670-1616

Other identifiers 1

IdentifierTypeStateIssuer
6003087MedicaidNC

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

LicenseStateTypeSpecialty
C004230NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Carolina Health Resources Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083750566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 CHESTNUT AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285626214",
            "telephone_number": "252-670-1616",
            "fax_number": "252-636-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 TRENT RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625735",
            "telephone_number": "252-636-0001",
            "fax_number": "252-636-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGS-GUSTUS",
        "first_name": "CLEASTHER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003087",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.