Provider Demographics
NPI:1952019150
Name:BUS, JENA (LCSW, LISW-CP)
Entity type:Individual
Prefix:
First Name:JENA
Middle Name:
Last Name:BUS
Suffix:
Gender:F
Credentials:LCSW, LISW-CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6605 ABERCORN ST STE 210
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5819
Mailing Address - Country:US
Mailing Address - Phone:912-483-1136
Mailing Address - Fax:912-216-3422
Practice Address - Street 1:6605 ABERCORN ST STE 210
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5819
Practice Address - Country:US
Practice Address - Phone:912-483-1136
Practice Address - Fax:912-216-3422
Is Sole Proprietor?:No
Enumeration Date:2022-11-07
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC130031041C0700X
SC156661041C0700X
GACSW0089831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical