Courtney Leigh Bushnell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7955 Issued in CT

Practice address

130 Elm St
Old Saybrook, CT 06475-4105

Phone

(860) 388-9656

Fax

(860) 388-9463

NPI assigned

May 12, 2012

Last updated

Oct 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Project Courage, LLC

  dba Project Courage

  • Addiction (Substance Use Disorder) Counselor
  • Old Saybrook, CT
  • NPI 1609750298

  Clinical

  NPD
• Project Courage, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Old Saybrook, CT
  • NPI 1659716405
  NPD

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

{
    "created_epoch": "1336780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1316206246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 ELM ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754105",
            "telephone_number": "860-388-9656",
            "fax_number": "860-388-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 ELM ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064754105",
            "telephone_number": "860-388-9656",
            "fax_number": "860-388-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSHNELL",
        "first_name": "COURTNEY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-12",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "7955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Buccaro
• Joshua James Bucko
• Sara Bunce, MFT
• Jeffrey D Burkholz
• Kathleen Burnett
• Pamela Caehill, PSY.D.
• Callie Lamay DPM LLC
• Ira Leroy Cantner II, D.M.D.
• Matthew S Cantner, D.M.D.
• Caring Ways Adult Day Center

• Clinical Social Worker in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.