Provider Demographics
NPI:1437110715
Name:BUSHINSKY, NANCY E (LMSW, CASAC)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:E
Last Name:BUSHINSKY
Suffix:
Gender:F
Credentials:LMSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 WASHINGTON RD
Mailing Address - Street 2:CREDENTIALS OFFICE, KELLER ARMY COMMUNITY HOSPITAL
Mailing Address - City:WEST POINT
Mailing Address - State:NY
Mailing Address - Zip Code:10996-1109
Mailing Address - Country:US
Mailing Address - Phone:845-938-7694
Mailing Address - Fax:845-938-5770
Practice Address - Street 1:900 WASHINGTON RD
Practice Address - Street 2:CREDENTIALS OFFICE, KELLER ARMY COMMUNITY HOSPITAL
Practice Address - City:WEST POINT
Practice Address - State:NY
Practice Address - Zip Code:10996-1109
Practice Address - Country:US
Practice Address - Phone:845-938-7694
Practice Address - Fax:845-938-5770
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18123101YA0400X
NY0610151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY33025FMedicare ID - Type Unspecified
NYVAD000Medicare UPIN