Krista Jo Renee Dusek, LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

53479 Issued in TX

Practice address

1616 Sylvia LN
Round Rock, TX 78681-1987

Phone

(512) 925-6221

NPI assigned

Jun 24, 2020

Last updated

Jun 24, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A & B Counseling LLC

  • In Home Supportive Care Agency
  • Fort Lauderdale, FL
  • NPI 1316400203
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1740806728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 SYLVIA LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811987",
            "telephone_number": "512-925-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 SYLVIA LN",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786811987",
            "telephone_number": "512-925-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSEK",
        "first_name": "KRISTA JO",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "LCSW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "53479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Durette, RBT
• Amanda Durgin
• Peter Durham, PSY.D.
• Chinwendu Duru, PHD
• Uzochi Duru
• Ryan Kendall Dyckes, SLP
• Brett G Dyke, DMD
• Jerica Dykes
• Eactx PLLC (Eye Associates of Central Texas)
• Eagle Ward Rehabilitation Inc

• Clinical Social Worker in Round Rock, TX
• Providers in Round Rock, 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 Jun 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.