Individual provider Active NPI

Hillary Hustana, LCSW

  • Clinical Social Worker
  • Denver, CO
National Provider Identifier
1407302136
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
09926415 Issued in CO
Practice address
1405 Federal Blvd
Denver, CO 80204-2211
Phone
(303) 300-6269
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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 09926415 CO Primary

Addresses

Primary practice location

1405 Federal Blvd
Denver, CO 80204-2211

Mailing address

1405 Federal Blvd
Denver, CO 80204-2211
Phone (303) 300-6269

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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

Enrollment IDStateProvider typePAC IDDetails
I20200416000902 CO Practitioner - Clinical Social Worker 6507296480 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09926415COMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center of Denver CurrentSince Mar 14, 2020 Accepting new patients
Mental Health Center of Denver CurrentSince Mar 14, 2020 Accepting new patients
Mental Health Center of Denver Current Accepting new patients

Locations

4141 E Dickenson Pl
Denver, CO 80222
Phone (303) 504-6509

3401 Eudora St
Denver, CO 80207
Phone (303) 300-6266

1405 Federal Blvd
Denver, CO 80204
Phone (303) 504-1500

Organizations & group practices 3

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": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1407302136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042211",
            "telephone_number": "303-300-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 FEDERAL BLVD",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802042211",
            "telephone_number": "303-300-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSTANA",
        "first_name": "HILLARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09926415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.