Individual provider Active NPI

Veronica Bustos, LCSW

  • Clinical Social Worker
  • Mesquite, TX
National Provider Identifier
1982135885
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
63844 Issued in TX
Practice address
1713 Bette Dr
Mesquite, TX 75149-6261
Phone
(214) 971-3553
NPI assigned
Mar 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 63844 TX
Clinical Social Worker 1041C0700X 63844 TX Primary

Addresses

Primary practice location

1713 Bette Dr
Mesquite, TX 75149-6261

Mailing address

1713 Bette Dr
Mesquite, TX 75149-6261
Phone (214) 971-3553

Other practice location 1

809 Singleton Blvd
Dallas, TX 75212-4014
Phone (214) 540-0300 ext. 2312

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vbustos700202@direct.sw.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210812000342 TX Practitioner - Clinical Social Worker 2567866577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2835 Al Lipscomb Way
Baylor Scott and White City Square
Dallas, TX 75215-1647
Phone (214) 421-1783

2835 Grand Ave
Dallas, TX 75215-1647
Phone (214) 928-7724

4001 Worth St
Dallas, TX 75246-1608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
63844TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince May 6, 2021 Accepting new patients
Healthtexas Provider Network CurrentSince May 6, 2021 Accepting new patients

Locations

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

Interoperability endpoints

  • Direct secure messaging: vbustos700202@direct.sw.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1982135885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 BETTE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496261",
            "telephone_number": "214-971-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 BETTE DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751496261",
            "telephone_number": "214-971-3553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "809 Singleton Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752124014",
            "country_code": "US",
            "telephone_number": "214-540-0300 x2312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSTOS",
        "first_name": "VERONICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-22",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "63844",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "63844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vbustos700202@direct.sw.org",
            "affiliation": "N",
            "address_1": "2835 Al Lipscomb Way",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752151647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.