Individual provider Active NPI

Tracy M Bush, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1861933541
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007174A Issued in IN
Practice address
915 Main St Ste 500
Evansville, IN 47708-1853
Phone
(812) 402-8333
Fax
(812) 402-8331
NPI assigned
Mar 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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 34007174A IN Primary

Addresses

Primary practice location

915 Main St Ste 500
Evansville, IN 47708-1853

Mailing address

PO Box 33
Evansville, IN 47701-0033
Phone (812) 402-8333

Other names 1

  • Tracy M Brown Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170327001057 IN Practitioner - Clinical Social Worker 0941585392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Within SightGroup PAC ID 3476772633, 9 clinicians

Practice addresses (Care Compare)

15 Vann Ave
Evansville, IN 47714-1444
Phone (812) 402-8333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34007174AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Within Sight Clinical CurrentSince Apr 1, 2017 Accepting new patients

Locations

915 Main St
Ste 500
Evansville, IN 47708

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1489536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1861933541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477010033",
            "telephone_number": "812-402-8333",
            "fax_number": "812-402-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 MAIN ST STE 500",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081853",
            "telephone_number": "812-402-8333",
            "fax_number": "812-402-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSH",
        "first_name": "TRACY",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-15",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007174A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "BROWN",
            "middle_name": "M",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.