Individual provider Active NPI

Warren Bush

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1245039205
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
074822 Issued in NY
Practice address
1888 Westchester Ave
Bronx, NY 10472-3000
Phone
(646) 301-4812
NPI assigned
Mar 12, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 074822 NY Primary

Addresses

Primary practice location

1888 Westchester Ave
Bronx, NY 10472-3000

Mailing address

2811 Oswego St
North Bellmore, NY 11710-2446
Phone (516) 884-4704

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250429002051 NY Practitioner - Clinical Social Worker 4789100181 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
074822NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Sky Medical Services PC Single Specialty CurrentSince Feb 22, 2025 Accepting new patients
New Horizon Counseling Center Inc Single Specialty CurrentSince Jul 14, 2025 Accepting new patients

Locations

1888 Westchester Ave
Bronx, NY 10472
Phone (646) 301-4812

445 Oak St
Copiague, NY 11726
Phone (631) 257-5173

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

50 W Hawthorne Ave
Valley Stream, NY 11580
Phone (516) 872-9698

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1245039205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 OSWEGO ST",
            "city": "NORTH BELLMORE",
            "state": "NY",
            "postal_code": "117102446",
            "telephone_number": "516-884-4704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104723000",
            "telephone_number": "646-301-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "WARREN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "074822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.