Individual provider · Type 1 NPI

Kayla Bushway, LICSW

Clinical Social Worker · Manchester, NH

NPI number 1104557578 Active

Practice location

700 Lake Ave
Manchester, NH 03103-2734

Fax (603) 622-8101

Mailing address

555 Auburn St
Manchester, NH 03103-4803

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X2753 (NH)

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 1104557578

Kayla Bushway, LICSW's National Provider Identifier is 1104557578, issued on Jun 17, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Manchester, NH. The record was last updated on Apr 12, 2024.