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DALE MYRA TUSHMAN LCSW
NPI 1013960004
Social Worker - Clinical in Kingsland, GA

Active since May 18, 2006
100 MARINERS DR STE D, KINGSLAND, GA 31548(912) 510-0669(912) 510-0754 Get Directions Write a Review

NPPES record last updated: December 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dale Myra Tushman Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALE MYRA TUSHMAN LCSW (NPI 1013960004) is an individual clinical provider in Kingsland, Georgia, licensed in Georgia (CSW 001945) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1013960004
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDALE MYRA TUSHMANCredential: LCSW
Location Address100 MARINERS DR STE DKingsland, GA 31548-6667
Mailing Address100 Mariners Dr Ste DKingsland, GA 31548-6667 · (912) 510-0669 · Fax (912) 510-0754
Phone(912) 510-0669
Fax(912) 510-0754
Sole ProprietorYes
Enumeration DateMay 18, 2006
Last NPPES UpdateDecember 31, 2019
✔ NPI 1013960004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW 001945
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
100 MARINERS DR STE D, Kingsland, GA 31548
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Other Identifiers 1

Medicaid003219987AGA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID J FAULK MD
Community/Behavioral Health
100 MARINERS DR STE D
KINGSLAND, GA 31548
Camden County (912) 510-0669
ARA TREMBLY LPC
Counselor (Professional)
100 MARINERS DR STE D
KINGSLAND, GA 31548
Camden County (912) 510-0669
CREIGHTON ROBERTS LPC
Counselor (Mental Health)
100 MARINERS DR STE D
KINGSLAND, GA 31548
Camden County (912) 510-0669
JUDI TAYLOR ROGERS LCSW
Social Worker (Clinical)
100 MARINERS DR STE D
KINGSLAND, GA 31548
Camden County (770) 656-4401
ALLISON FENDER, LPC, LLC
Counselor (Mental Health)
100 MARINERS DR STE D
KINGSLAND, GA 31548
Camden County (912) 510-0669
MR. JASON ANTHONY HILL MED
Counselor (Professional)
100 MARINERS DR STE D
KINGSLAND, GA 31548
Camden County (912) 222-3851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale Tushman's NPI number?

The NPI number for Dale Tushman is 1013960004. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Dale Tushman located?

Dale Tushman practices at 100 Mariners Dr Ste D, Kingsland, GA 31548. The listed phone number is (912) 510-0669.

What is Dale Tushman's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Dale Tushman was last updated on December 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.