Active NPI
Kelly E Bartle-Bush, LCSW
- Clinical Social Worker
- Horseheads, NY
National Provider Identifier
1750628111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 902 W Broad St
Horseheads, NY 14845-2254 - Phone
- (607) 252-4519
- NPI assigned
- Jan 4, 2013
- Last updated
- Jun 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
902 W Broad St
Horseheads, NY 14845-2254
Mailing address
902 W Broad St
Horseheads, NY 14845-2254
Phone (607) 252-4519
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4 Prospect St
Seneca Falls, NY 13148-1214
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 086282 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Presence Sealy Counseling and Development Licensedclinicalservicespllc | Clinical | Current | Accepting new patients |
| Nurtured Beginnings LCSW Therapy, PLLC | Clinical | Current | Accepting new patients |
| Presence Psychology, LMSW, PT, OT and SLP Services, PLLC | Current | Accepting new patients |
Locations
115 Fall St
Seneca Falls, NY 13148
Phone (315) 515-5183
Interoperability endpoints
- kellybartlebush@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
-
dba Presence Counseling Services
- Clinical Social Worker
- Seneca Falls, NY
- NPI 1346769734
-
- Clinical Social Worker
- Horseheads, NY
- NPI 1427837376
-
dba Presence Developmental Services
- Intellectual & Developmental Disabilities Psychologist
- Seneca Falls, NY
- NPI 1538688924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1750628111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "902 W BROAD ST",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148452254",
"telephone_number": "607-252-4519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "902 W BROAD ST",
"city": "HORSEHEADS",
"state": "NY",
"postal_code": "148452254",
"telephone_number": "607-252-4519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTLE-BUSH",
"first_name": "KELLY",
"middle_name": "E",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-04",
"last_updated": "2022-06-06",
"certification_date": "2020-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Horseheads, NY
- Stephen L Bailey, RPH
- Jamie C Baker, DDS
- Sarika Pandharinath Ballari, MD
- Tracey Beth Barlow, SOCIAL WORKER
- Barnes Chiropractic, PLLC
- Miranda Daniell Beeman, DO
- Robert P. Bellohusen, D.M.D.
- Jennifer Lea Bempkins, D.D.S.
- Bethany Nursing Home and Health Related Facility, Inc.
- Bethany Retirement Home, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.