Individual provider Active NPI

Nathaniel Bush, LCSW

  • Clinical Social Worker
  • Scottsdale, AZ
National Provider Identifier
1689453326
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-21828 Issued in AZ
Practice address
16444 N 91St St BLDG H
Scottsdale, AZ 85260-1567
Phone
(800) 480-1781
Fax
(480) 590-7303
NPI assigned
Sep 22, 2023
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-21828 AZ Primary

Addresses

Primary practice location

16444 N 91St St BLDG H
Scottsdale, AZ 85260-1567

Mailing address

16444 N 91St St BLDG H
Scottsdale, AZ 85260-1567
Phone (800) 480-1781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250411001912 AZ Practitioner - Clinical Social Worker 8628592631

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Healing Center, LLC CurrentSince Jan 30, 2025 Accepting new patients
Cornerstone Healing Center, LLC CurrentSince Jan 30, 2025 Accepting new patients
Cornerstone Healing Center, LLC Past Accepting new patients

Locations

4344 W Indian School Rd
Phoenix, AZ 85031
Phone (623) 594-2434

4344 W Indian School Rd
Ste 22
Phoenix, AZ 85031
Phone (800) 480-1781

4344 W Indian School Rd
Ste 2223
Phoenix, AZ 85031
Phone (480) 863-0217

16444 N 91st St
Scottsdale, AZ 85260
Phone (480) 863-0217

16444 N 91st St
Bldg H
Scottsdale, AZ 85260
Phone (725) 308-6867

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1689453326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16444 N 91ST ST BLDG H",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601567",
            "telephone_number": "800-480-1781",
            "fax_number": "480-590-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16444 N 91ST ST BLDG H",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601567",
            "telephone_number": "800-480-1781",
            "fax_number": "480-590-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "NATHANIEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-21828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.