National Provider Identifier
Kelly E Bartle-Bush, LCSW
Kelly E Bartle-Bush, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Horseheads, NY and a listed phone number of (607) 252-4519.
Profile Overview
- NPI
- 1750628111
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 04, 2013
- Last Updated
- June 06, 2022
Practice Location
- 902 W Broad St
- Horseheads, NY 14845-2254
Phone: (607) 252-4519
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1750628111
- Entity Type
- Individual
- Last Name
- Bartle-Bush
- First Name
- Kelly
- Middle Name
- E
- Credential
- LCSW
- Mailing Street Address
- 902 W Broad St
- Mailing City
- Horseheads
- Mailing State
- NY
- Mailing ZIP Code
- 14845-2254
- Mailing Country
- US
- Mailing Phone
- (607) 252-4519
- Practice Street Address
- 902 W Broad St
- Practice City
- Horseheads
- Practice State
- NY
- Practice ZIP Code
- 14845-2254
- Practice Country
- US
- Practice Phone
- (607) 252-4519
- Enumeration Date
- January 04, 2013
- Last Updated
- June 06, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- October 04, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)