Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly A. Bush, LISW

Individual provider Clinical Social Worker · NPI 1649930173

Kelly A. Bush, LISW is a Clinical Social Worker in Davenport, Iowa. Practices as a sole proprietor. Licensed in Iowa.

Licensed in
IA
In the registry since
2021
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

1811 Pineacre Ave
Davenport, IA 52803-3555
Phone: (563) 528-9191
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 077404 (IA)

Record details

NPI number1649930173
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedDecember 24, 2021
Last updated in NPPESDecember 24, 2021
Certification dateDecember 24, 2021

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