Individual provider · Type 1 NPI

Michael David Bushman, LCSW

Clinical Social Worker · Indianapolis, IN

NPI number 1083242895 Active

Practice location

203 Good Ave
Indianapolis, IN 46219-7210

Mailing address

5224 E Walnut St
Indianapolis, IN 46219-5650

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: 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 interpers…

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About NPI 1083242895

Michael David Bushman, LCSW's National Provider Identifier is 1083242895, issued on Mar 28, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 28, 2020.