Kathleen Hustek, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004624 Issued in CT

Practice address

196 Court St
Middletown, CT 06457-3302

Phone

(860) 343-5510

NPI assigned

Oct 2, 2014

Last updated

Oct 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optum Behavioral Care of Connecticut PCGroup PAC ID 9436502879, 132 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kathleen.hustek.1@28623.direct.athenahealth.com

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

• Optum Behavioral Care of Connecticut, P.C.

  • Counseling Psychologist
  • Norwich, CT
  • NPI 1922870955
  Medicare reassignment Care Compare group NPD
• The Connection Inc.

  dba South Central Counseling Center

  • Adult Mental Health Clinic/Center
  • New Haven, CT
  • NPI 1700934296
  Medicare reassignment NPD
• The Connection Inc.

  • Adult Mental Health Clinic/Center
  • New Haven, CT
  • NPI 1154387652
  NPD
• Optum Behavioral Care of Connecticut, P.C.

  • Clinical Social Worker
  • Providence, RI
  • NPI 1730972944
  NPD
• The Connection Inc.

  dba Greater Middletown Counseling Center.

  • Adult Mental Health Clinic/Center
  • Middletown, CT
  • NPI 1952442725
  NPD (past)
• The Connection Inc.

  • Adult Mental Health Clinic/Center
  • New Haven, CT
  • NPI 1992823538
  NPD (past)

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1184027203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 COURT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573302",
            "telephone_number": "860-343-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 COURT ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573302",
            "telephone_number": "860-343-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTEK",
        "first_name": "KATHLEEN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary H Hungerford, LCSW
• Jennifer L Husman, FNP-BC
• Nadeem Hussain, MD
• Marta Husted, RDH
• Nicholas E Husted, PA-C, ATC
• Polly Huynh
• Nancy Hwang, APRN
• Shaina Michele Ianniello, LCSW
• Suzanne Ierna, RDH
• Innovative Team Care (Itc)

• Clinical Social Worker in Middletown, CT
• Providers in Middletown, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.