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.

NPI 1750628111Horseheads, NYClinical Social Worker

Source: public NPPES record, last updated June 06, 2022. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

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)

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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
Taxonomies
Clinical Social Worker (1041C0700X)