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Anna Bustillo , SWT, CDCA

Social Worker β€’ Dayton, OH

Active NPI 1245723568 Individual Practitioner Female Practitioner
Practice location in NPPES

856 S Patterson Blvd
Dayton, OH 45402

Call 9379664673 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

856 S Patterson Blvd

Dayton, OH 45402

Telephone 9379664673
Organization at the Same NPPES Address or Phone
Decoach Team Llc Facility NPI 1366992224

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Dayton and Ohio

411 active clinicians are listed under Social Worker with a practice address in Dayton, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Dayton

0.5% of these 411 clinicians have the CMS telehealth indicator.

1.2% of these 411 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-09-09
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S.2504551-TRNE

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES OH CDCA.173327
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Hannah Hester , FNP-BC

Nurse Practitioner

NPI 1417580291

Family Nurse Practitioner (Board Certified)

Lori Mosconi , APRN-CNP

Nurse Practitioner - Family

NPI 1851812473

Advanced Practice Registered Nurse - Certified Nurse Practitioner

Alexis Newsome

Nurse Practitioner - Family

NPI 1558140707
Na'sha Onuoha , APRN, CNP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1326710823

Advanced Practice Registered Nurse, Certified Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ“
Updated Practice Location September 09, 2025

Registered at 856 S PATTERSON BLVD, DAYTON, OH 45402 (Tel: 9379664673)

πŸ“
Updated Business Mailing Address September 09, 2025

Registered at 100 CROWNE POINT PL, CINCINNATI, OH 452415427 (Tel: 5137437628)

πŸ‘€
Provider Name / Credentials Updated September 09, 2025

Recorded as ANNA BUSTILLO, SWT, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2025

Social Worker (license number reported to NPPES: OH S.2504551-TRNE)

πŸ“
Updated Practice Location November 15, 2021

Registered at 1830 W HIGH ST, PIQUA, OH 453569399 (Tel: 5138347063)

πŸ“
Updated Business Mailing Address November 15, 2021

Registered at 615 ELSINORE PL STE 200, CINCINNATI, OH 452021457 (Tel: 5138347063)

βœ…
NPI Profile Active June 11, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 11, 2018

Registered at 1010 N PROSPECT ST, BOWLING GREEN, OH 434021335 (Tel: 4193521545)

πŸ“
Business Mailing Address (Initial Record) June 11, 2018

Registered at 235 S MERCER RD APT 11A, BOWLING GREEN, OH 434023337 (Tel: 4195759077)

πŸ‘€
Provider Name / Credentials (Initial Record) June 11, 2018

Recorded as ANNA SPECK, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2018

Community Health Worker

🟒
Initial NPI Registration & Enumeration June 11, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245723568
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2018
Last Update: September 09, 2025
Sole Proprietor: No

Mailing Address

100 Crowne Point Pl

Cincinnati, OH 452415427

Phone: 5137437628

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.