Brenda Lourdes Bustos de Weaver, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

35102 Issued in MN

Practice address

1609 County Road 42 W Ste 309
Burnsville, MN 55306-6213

Phone

(918) 896-3604

NPI assigned

May 31, 2011

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

Other names 1

• Brenda Lourdes Bustos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1225322936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 COUNTY ROAD 42 W STE 309",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066213",
            "telephone_number": "918-896-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 COUNTY ROAD 42 W STE 309",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553066213",
            "telephone_number": "918-896-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTOS DE WEAVER",
        "first_name": "BRENDA",
        "middle_name": "LOURDES",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-31",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "35102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "BUSTOS",
            "middle_name": "LOURDES",
            "credential": "LGSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chandra Jo Bushard, MA CCC SLP
• Andrea Bushaw, NP
• Bushman Psychological Services LLC
• Kimberly Bushman, PHD., LP
• Tori Bussanmas, MD
• Sabir Busuri
• Thomas Jacob Butenhoff, MPAS, PA-C
• Abdiladif Buthul
• Patsy Butterworth, MA, LPCC
• Kathryn Lyn Buysse, PHARMD

• Clinical Social Worker in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.

Verify at the official NPI Registry.