Melanie Darlene Bush, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080739 Issued in NY

Practice address

36500 Rte 26
Carthage Central High School-School Based Health Clinic
Carthage, NY 13619-9506

Phone

(315) 493-5080

Fax

(315) 493-5082

NPI assigned

May 23, 2008

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 26, 2016.

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1760640916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 WEST ST",
            "address_2": "CARTHAGE AREA HOSPITAL",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199703",
            "telephone_number": "315-493-5080",
            "fax_number": "315-493-5082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36500 RTE 26",
            "address_2": "CARTHAGE CENTRAL HIGH SCHOOL-SCHOOL BASED HEALTH CLINIC",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199506",
            "telephone_number": "315-493-5080",
            "fax_number": "315-493-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "MELANIE",
        "middle_name": "DARLENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "078262",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Lynn Briand-Finnegan, RN
• Jennifer Brouty, PA
• Erin Bufton, RN
• Star Bumbanac
• Jocelyn Bura
• Elizabeth Carnie, PT
• Carthage Area Hospital
• Carthage Area Hospital
• Carthage Area Hospital Inc
• Carthage Area Hospital Inc

• All providers in Carthage, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.