Individual provider · Type 1 NPI

Vickie Lynn Bush, LICSW

Clinical Social Worker · Willmar, MN

NPI number 1548393754 Active

Practice location

1125 6th Street SE, Woodland Centers
Willmar, MN 56201-4675

Call (320) 231-9148 Map

Fax (320) 231-9140

Mailing address

919 No 17th Street
Montevideo, MN 55265

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X300202 (MN)
Clinical Social Worker Primary 1041C0700X8024 (MN)

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 1548393754

Vickie Lynn Bush, LICSW's National Provider Identifier is 1548393754, issued on Mar 14, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Willmar, MN. The record was last updated on Mar 16, 2017.