Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Pernell M.j Bush, LCSW

Individual provider Clinical Social Worker · NPI 1932607546

Mr. Pernell M.j Bush, LCSW is a Clinical Social Worker in Sanford, Florida. Works from 3 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2018
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

819 E 1st St Ste 4
Sanford, FL 32771-1467
Phone: (407) 906-0139
Fax: (407) 542-5935
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 6889 W Colonial Dr, Orlando, FL 32818-6827 — (407) 906-0139
  • 580 Lexington Green Ln, Sanford, FL 32771-1026 — (407) 906-0139

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW18109 (FL)

Record details

NPI number1932607546
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 29, 2018
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024

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