Debra Bush, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

50567 Issued in TX

Practice address

13283 State Highway 155 N
Ore City, TX 75683-3538

Phone

(903) 530-2819

NPI assigned

Jan 26, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Debbie Bush Other name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Social Worker

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brittain and Associates IncGroup PAC ID 2668455221, 16 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Brittain & Associates Inc

  • Clinical Psychologist
  • Ore City, TX
  • NPI 1285650457
  Medicare reassignment Care Compare group NPD
• Serenity Connections Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • Tyler, TX
  • NPI 1093351462
  NPD Authorized official

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1386001022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6980 PARK SLOPE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13283 STATE HIGHWAY 155 N",
            "city": "ORE CITY",
            "state": "TX",
            "postal_code": "756833538",
            "telephone_number": "903-530-2819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1820 Shiloh Rd Ste 1405",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757032458",
            "country_code": "US",
            "telephone_number": "903-284-5199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6980 Park Slope",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757030316",
            "country_code": "US",
            "telephone_number": "903-530-2819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUSH",
        "first_name": "DEBRA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "50567",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "50567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBBIE",
            "last_name": "BUSH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Vahid Bagherian, MD
• Brittain & Associates Inc
• Montgomery Lee Brock, LCDC., LPC.
• Elizabeth Copes, LCSW
• Marquisderell Daniels
• Desiree Fleming, LMSW
• Nedra Helane Francis, MA, LPA, LSSP
• Gigi'S Place Incorporated

• Clinical Social Worker in Ore City, TX
• Providers in Ore City, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.