Individual provider Active NPI

Brent Gust, MSW, APSW

  • Clinical Social Worker
  • Eau Claire, WI
National Provider Identifier
1295403244
Registry record updated Oct 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
131760-121 Issued in WI
Practice address
3703 Oakwood Hills Pkwy Ste 100
Eau Claire, WI 54701-4458
Phone
(534) 444-4562
NPI assigned
Sep 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2023

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 131760-121 WI Primary

Addresses

Primary practice location

3703 Oakwood Hills Pkwy Ste 100
Eau Claire, WI 54701-4458

Mailing address

3703 Oakwood Hills Pkwy Ste 100
Eau Claire, WI 54701-4458

Other identifiers 1

IdentifierTypeStateIssuer
1041C0700XMedicaidWI

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Therapy Associates, LLC PastSince Feb 12, 2025 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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698105600000",
    "number": "1295403244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 OAKWOOD HILLS PKWY STE 100",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 OAKWOOD HILLS PKWY STE 100",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547014458",
            "telephone_number": "534-444-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUST",
        "first_name": "BRENT",
        "credential": "MSW, APSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2023-10-24",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "131760-121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eau Claire, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.