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

Individual provider Clinical Social Worker · NPI 1083242895

Michael David Bushman, LCSW is a Clinical Social Worker in Indianapolis, Indiana. Qualified in 2014, 12 years ago. Practices with Irvington Counseling Collective Inc, a 4-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
12
In the registry since
2020
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

203 Good Ave
Indianapolis, IN 46219-7210
Phone: (765) 238-0226
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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

Record details

NPI number1083242895
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 28, 2020
Last updated in NPPESMarch 28, 2020
Certification dateMarch 28, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Irvington Counseling Collective Inc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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