Active NPI
Lindsey Bustamante, LMSW
- Social Worker
- Jefferson, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW004839
- Practice address
- 383 General Jackson Dr
Jefferson, GA 30549-2909 - Phone
- (706) 542-9700
- Fax
- (706) 227-7249
- NPI assigned
- Feb 1, 2010
- Last updated
- Feb 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW004839 | GA | Primary |
Addresses
Primary practice location
383 General Jackson Dr
Jefferson, GA 30549-2909
Mailing address
250 North Ave
Athens, GA 30601-2244
Phone (706) 542-9700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
390 Prospect PL
Alpharetta, GA 30005-5467
Phone (470) 991-1619
5235 Deerlake Dr
Alpharetta, GA 30005-3604
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW004839 | GA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bustamante Counseling | Current | Accepting new patients | |
| Focus Forward Counseling and Consulting, Inc | Current | Accepting new patients |
Locations
390 Prospect Pl
Alpharetta, GA 30005
Phone (678) 557-0934
5975 Parkway North Blvd
Ste 300D
Cumming, GA 30040
Phone (404) 388-3909
5975 Parkway North Blvd
Ste D
Cumming, GA 30040
Phone (404) 388-3909
Organizations & group practices 2
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.
-
- Professional Counselor
- Cumming, GA
- NPI 1912138710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1336471499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 NORTH AVE",
"city": "ATHENS",
"state": "GA",
"postal_code": "306012244",
"telephone_number": "706-542-9700",
"fax_number": "706-227-7249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "383 GENERAL JACKSON DR",
"city": "JEFFERSON",
"state": "GA",
"postal_code": "305492909",
"telephone_number": "706-542-9700",
"fax_number": "706-227-7249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSTAMANTE",
"first_name": "LINDSEY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-01",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW004839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jefferson, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; 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.