STACIE L SUSTAITA – Clinical Social Worker, NPI 1548808462
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,555 CLINICAL SOCIAL WORKER in TX
Provider Addresses for STACIE L SUSTAITA
17043 EL CAMINO REAL STE 103
HOUSTON, TX 770582653
Phone: (713) 248-5191
Type: Location
1111 W Adoue St
Alvin, TX 775112718
Phone: (281) 824-1480
Fax: (281) 220-6407
Type: Location
17043 El Camino Real Ste 103
Houston, TX 770582653
Phone: (713) 248-5191
Type: Location
12106 PALMDATE ST
HOUSTON, TX 770343731
Phone: (713) 248-5191
Type: Mailing
10851 SCARSDALE BLVD STE 160
HOUSTON, TX 770895737
Phone: (281) 824-1480
Fax: (281) 220-6407
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200225000968 | I | Clinical Social Worker | TX | TBD |
| I20230905003558 | I | Clinical Social Worker | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 77058)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Mental Health Counselor | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX |
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