TRACEY BUSH (NPI# 1932681723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932681723 |
| Entity Type | Individual |
| Full Name | TRACEY BUSH |
| Credential | MSW, LCSW |
| Practice Address |
393 E Walnut St Fl 64w196 Pasadena CA 91188-0001 |
| Practice Telephone | 6264055116 |
| Mailing Telephone | 6264055116 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
3305 | LA | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS17642 | CA | Behavioral Health & Social Service Providers |
| Street Address |
393 E WALNUT ST FL 64W196 |
| City | PASADENA |
| State | CA |
| Zip Code | 91188-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467776096 | Hamida Khanmohammed | Nurse Practitioner | 393 East Walnut Street, Pasadena, Ca 91188, Southern California Permanente Medical Group, Pasadena, CA 91188 | 2010-03-25 |
| 1700853728 | Candace A. Elliott | Nurse Practitioner | 393 East Walnut Street, Pasadena, CA 91188 | 2006-03-08 |
| 1790045516 | Ashley Nicole Madsen | Registered Nurse | 363 E Walnut St, Pasadena, CA 91188-0001 | 2012-05-26 |
| 1053679472 | Sabrina Perrino | Pediatrics | 393 E Walnut Street Pasadena Ca 91188, Pasadena, CA 91188-0001 | 2012-04-24 |
| 1740446236 | Kaiser Permanente Panorama City Medical Center | General Acute Care Hospital | 393 E. Walnut St, Fl 3 -phrs, Pasadena, CA 91188-0001 | 2008-08-04 |
| 1033394408 | Rasiq Abdul Jabbar Ahmed | Specialist | 393 E Walnut Street Kaiser Permanente, Pasadena, CA 91188-0001 | 2008-01-04 |
| 1043494818 | Michael Boytim | Registered Nurse | 100 S Los Robles Suite 550, Pasadena, CA 91188-0001 | 2007-12-28 |
| 1538221296 | Monica Maritza Alvarado | Genetic Counselor, MS | 393 E Walnut Street 6 Sw, Regional Genetic Services, Pasadena, CA 91188-0001 | 2006-12-15 |
| 1295778090 | Jorge Antonio Fernandez Jr. | Emergency Medicine | 393 E. Walnut Street, Pasadena, CA 91188-0001 | 2006-06-13 |
| 1457342941 | Leona Linda Bell | Pediatrics | 393 E Walnut St, Pasadena, CA 91188-0001 | 2005-11-02 |
| Find all providers in zip 91188 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524362 | Abigail Resendiz-zuniga | Social Worker | 459 E Colorado Blvd, Pasadena, CA 91101-2024 | 2020-09-29 |
| 1689287948 | Chris and Glorias Space LLC | Social Worker | 1055 E Colorado Blvd Ste 5198, Pasadena, CA 91106-2327 | 2020-08-26 |
| 1306458260 | Jennifer C Kerr | Social Worker | 1417 N Mentor Ave, Pasadena, CA 91104-2427 | 2020-08-20 |
| 1427518893 | Maricel Veluz | Social Worker | 595 E Colorado Blvd Ste 612b, Pasadena, CA 91101-2015 | 2019-03-22 |
| 1770041436 | Leticia C Lara | Social Worker | 236 W Mountain St Ste 201, Pasadena, CA 91103-2969 | 2019-03-12 |
| 1861966897 | Cynthia Clark Hunter | Social Worker | 130 S Euclid Ave Ste 3, Pasadena, CA 91101-2471 | 2019-01-12 |
| 1295202422 | Stephanie Rose Van | Social Worker | 440 S Marengo Ave, Pasadena, CA 91101-3113 | 2018-10-25 |
| 1548759269 | Katrin Lynn Koutassevitch | Social Worker | 200 E Del Mar Blvd Ste 119a, Pasadena, CA 91105-2551 | 2018-05-08 |
| 1063919751 | Paris Silva | Social Worker | 1165 E Claremont St, Pasadena, CA 91104-2906 | 2018-04-09 |
| 1043715949 | Marilyn Rivas | Social Worker | 86 Orange Pl, Pasadena, CA 91105-2000 | 2018-03-24 |
| Find all providers in PASADENA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.