Individual provider · Type 1 NPI
Kelly A. Bush, L.I.S.W.
Clinical Social Worker · Davenport, IA
Practice location
1811 Pineacre Ave
Davenport, IA 52803-3555
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 077404 (IA) |
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 1649930173
Kelly A. Bush, L.I.S.W.'s National Provider Identifier is 1649930173, issued on Dec 24, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Davenport, IA. The record was last updated on Dec 24, 2021.