Jasmine Vanessa Bustillo, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

9392 Issued in CT

Practice address

170 Bennett St
Bridgeport, CT 06605-2901

Phone

(203) 330-6790

NPI assigned

Feb 12, 2025

Last updated

Feb 12, 2025By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1831904150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 MERRITT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066063434",
            "telephone_number": "475-243-9940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 BENNETT ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066052901",
            "telephone_number": "203-330-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSTILLO",
        "first_name": "JASMINE",
        "middle_name": "VANESSA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "9392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise M Buonocore, APRN
• Andrene Burnett, LCSW
• Kimberly Ann Burns, APRN
• Lisa L Burns
• Mary Ann Burr, RDH
• Annabelle Mavoy Butler
• Christine G Butler, M.D.
• Sabrina Butler, PA-C
• William R Butler, M.D.
• Eleanor Marie Cabrera Aguirre, PHYSICIAN ASSISTANT

• Social Worker in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.