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BUSH COUNSELING SERVICE LCSW PLLC
NPI 1467093054
Social Worker - Clinical in Gouverneur, NY

Active since October 04, 2019
4673 STATE HIGHWAY 58, GOUVERNEUR, NY 13642(386) 888-6464(386) 888-6465 Get Directions Write a Review

NPPES record last updated: December 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 21, 2020, Jan 9, 2020, Oct 4, 2019 (3 updates tracked since 2019).

About Bush Counseling Service Lcsw Pllc NPPES

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

BUSH COUNSELING SERVICE LCSW PLLC (NPI 1467093054) is a healthcare organization registered as a clinical in Gouverneur, New York and active in the NPI registry since October 2019. The organization lists Selena Bush, Owner, as its authorized official.

NPPES Registry Identity

NPI1467093054
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBUSH COUNSELING SERVICE LCSW PLLC
Location Address4673 STATE HIGHWAY 58Gouverneur, NY 13642-3202
Mailing Address4673 State Highway 58Gouverneur, NY 13642-3202 · (386) 888-6464 · Fax (386) 888-6465
Phone(386) 888-6464
Fax(386) 888-6465
Organization SubpartNo
Authorized OfficialSelena BushOwner · (386) 888-6464
Enumeration DateOctober 4, 2019
Last NPPES UpdateDecember 21, 20203 updates tracked since enumeration
NPPES CertifiedDecember 21, 2020
✔ NPI 1467093054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
4673 STATE HIGHWAY 58, Gouverneur, NY 13642
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Other Identifiers 1

Medicaid05620695NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SELENA BUSH LCSW
Social Worker (Clinical)
4673 STATE HIGHWAY 58
GOUVERNEUR, NY 13642
St. Lawrence County (386) 888-6464

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 Bush Counseling Service Lcsw PLLC's NPI number?

The NPI number for Bush Counseling Service Lcsw PLLC is 1467093054. It was assigned to this organization in the NPPES registry on October 4, 2019.

Where is Bush Counseling Service Lcsw PLLC located?

Bush Counseling Service Lcsw PLLC is located at 4673 State Highway 58, Gouverneur, NY 13642. The listed phone number is (386) 888-6464.

What is Bush Counseling Service Lcsw PLLC'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 Bush Counseling Service Lcsw PLLC was last updated on December 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.