MR. THEODORE ROOSEVELT BUSH III
NPI 1063889194
Social Worker - Clinical in Durham, NC

Active since August 24, 2015
309 CRUTCHFIELD ST, DURHAM, NC 27704(919) 560-7305 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Theodore Roosevelt Bush Iii NPPES

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

MR. THEODORE ROOSEVELT BUSH III (NPI 1063889194) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (P009689) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1063889194
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. THEODORE ROOSEVELT BUSH III
Location Address309 CRUTCHFIELD STDurham, NC 27704-2754
Mailing Address309 Crutchfield StDurham, NC 27704-2754 · (919) 560-7305
Sole ProprietorNo
Enumeration DateAugust 24, 2015
NPI 1063889194 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 NC · P009689
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.
309 CRUTCHFIELD ST, Durham, NC 27704

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Clinic/Center (Federally Qualified Health Center (FQHC))
309 CRUTCHFIELD ST
DURHAM, NC 27704
Counselor (Addiction (Substance Use Disorder))
309 CRUTCHFIELD ST
DURHAM, NC 27704
Counselor (Professional)
309 CRUTCHFIELD ST
DURHAM, NC 27704
Counselor (Addiction (Substance Use Disorder))
309 CRUTCHFIELD ST
DURHAM, NC 27704
Counselor (Addiction (Substance Use Disorder))
309 CRUTCHFIELD ST
DURHAM, NC 27704
Psychologist
309 CRUTCHFIELD ST
DURHAM, NC 27704
Social Worker (Clinical)
309 CRUTCHFIELD ST
DURHAM, NC 27704
Counselor (Addiction (Substance Use Disorder))
309 CRUTCHFIELD ST
DURHAM, NC 27704

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 Theodore Bush's NPI number?

The NPI number for Theodore Bush is 1063889194. It was assigned to this individual provider in the NPPES registry on August 24, 2015.

Where is Theodore Bush located?

Theodore Bush practices at 309 Crutchfield St, Durham, NC 27704. The listed phone number is (919) 560-7305.

What is Theodore Bush's specialty?

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

What insurance does Theodore Bush accept?

Health plans from Blue Cross and Blue Shield of NC list Theodore Bush as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodore Bush was last updated on August 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.