Subena Gustave, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

55031 Issued in TX

Practice address

3106 Minthorn Dr
Killeen, TX 76542-1932

Phone

(347) 420-9280

NPI assigned

Jan 30, 2020

Sex

Female

Sole proprietor

Yes

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 TX

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• David a. Stulman, PH.D., P.C.

  • Counseling Psychologist
  • Killeen, TX
  • NPI 1366403594
  NPD (past)

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1619508389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 MINTHORN DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421932",
            "telephone_number": "347-420-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3106 MINTHORN DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421932",
            "telephone_number": "347-420-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTAVE",
        "first_name": "SUBENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "55031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Jacqueline Guerra
• Guided Hands in Home Care
• Guiding Light Concepts LLC
• Laci Gunter, SLP
• Liza Gustave, MS, LPC, LCDC
• Catarina Gutierrez
• Kiara Guy
• Brooklynn Guynes
• Jannette Guzman
• H-E-B, LP

• Clinical Social Worker in Killeen, TX
• Providers in Killeen, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.