MEDICARE: MS. ADRIANA ELISSA BUSTAMANTE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	41042	TX

General Provider Information

NPI Number	:	1093016420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ADRIANA ELISSA BUSTAMANTE LCSW

Provider Business Mailing Address
First Line	:	1003 JUSTIN LN
Second Line	:	APT 1077
City	:	AUSTIN
State	:	TX
Zip	:	78757-2662
Country	:	US
Telephone Number	:	512-203-2705
Fax Number	:

Provider Business Practice Location Address
First Line	:	1003 JUSTIN LN
Second Line	:	APT 1077
City	:	AUSTIN
State	:	TX
Zip	:	78757-2662
Country	:	US
Telephone Number	:	512-203-2705
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2010
Last Update Date	:	11/17/2010

Similar Medicare Providers

1104120963 — MISS EMILY JOHNSON
Practice Location Address:

1003 JUSTIN LN
AUSTIN, TX
78757-2662

Practice Phone: 512-365-0272
Practice Fax:

1306106976 — IAN BIRDWELL LPC
Practice Location Address:

1003 JUSTIN LN , #2096
AUSTIN, TX
78757-2662

Practice Phone: 512-585-2304
Practice Fax:

1356414163 — MSOCS-AUSTIN
Practice Location Address:

1000 12TH ST SW
AUSTIN, MN
55912-2662

Practice Phone: 507-433-9027
Practice Fax:

1275818270 — ERIN IMESON NP
Practice Location Address:

7212 BURNET RD
AUSTIN, TX
78757-2253

Practice Phone: 512-867-6299
Practice Fax:

1699628644 — KIMBERLY ANNE HILLMAN CPNP-AC/PC
Practice Location Address:

7940 SHOAL CREEK BLVD
AUSTIN, TX
78757-7571

Practice Phone: 512-494-4000
Practice Fax:

1235375627 — MICHAEL BANDY D.C.
Practice Location Address:

2700 W ANDERSON LN STE 204
AUSTIN, TX
78757-1153

Practice Phone: 512-904-0914
Practice Fax: 512-454-8846

Directions to “ MS. ADRIANA ELISSA BUSTAMANTE LCSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.