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Mr. Pernell M.j Bush, LCSW
Clinical Social Worker in Sanford, Florida
NPI 1932607546

Pernell M.j Bush is a Clinical Social Worker based in Sanford, FL and is specialized in Clinical. Pernell M.j Bush practices in Sanford, FL and has the professional credentials of LCSW. The NPI Number for Pernell M.j Bush is 1932607546 and holds a License No. SW18109 (Florida).

The current practice location address for Pernell M.j Bush is 819 E 1St St Ste 4, Sanford, FL and can be reached out via phone at 407-906-0139 and via fax at 407-542-5935.

Location: 819 E 1St St Ste 4, Sanford, FL, 32771-1467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932607546
Provider Name
Pernell M.j Bush
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
819 E 1St St Ste 4, Sanford, FL, 32771-1467
Phone Number
407-906-0139
Fax Number
407-542-5935
Provider Enumeration Date
01/29/2018
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
WMRMF 01 FL BCBS
5845848 01 FL CIGNA
6157870 01 FL AETNA
601535783 01 FL MEGELLAN
OH308 01 FL MEDICARE
1099907 01 FL OPTUM
institution
Provider Business Practice Location Address Details
Address
819 E 1St St Ste 4
City
Sanford
State
Florida
Zip
32771-1467
Phone Number
407-906-0139
Fax Number
407-542-5935
person
Provider Business Mailing Address Details
Address
819 E 1St St Ste 4
City
Sanford
State
Florida
Zip
32771-1467
Phone Number
407-906-0139
Fax Number
407-542-5935
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
SW18109 (Florida)
Definition
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.
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