Active NPI
Dora L Bush, LCSW
- Social Worker
- Stamford, CT
National Provider Identifier
1811006398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 003915
- Practice address
- 30 Shelburne Rd
Stamford, CT 06902-3628 - Phone
- (203) 276-7111
- Fax
- (203) 276-7081
- NPI assigned
- Aug 29, 2006
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 003915 | CT | Primary |
Addresses
Primary practice location
30 Shelburne Rd
Stamford, CT 06902-3628
Mailing address
30 Shelburne Rd
Stamford, CT 06902-3628
Phone (203) 276-7111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003915 | CT | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1811006398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 SHELBURNE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069023628",
"telephone_number": "203-276-7111",
"fax_number": "203-276-7081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 SHELBURNE RD",
"city": "STAMFORD",
"state": "CT",
"postal_code": "069023628",
"telephone_number": "203-276-7111",
"fax_number": "203-276-7081"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "DORA",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CT",
"license": "003915",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stamford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.