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

Mr. Theodore Roosevelt Bush III

Individual provider Clinical Social Worker · NPI 1063889194

Mr. Theodore Roosevelt Bush III is a Clinical Social Worker in Durham, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015

Practice location Address checks out

309 Crutchfield St
Durham, NC 27704-2754
Phone: (919) 560-7305
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P009689 (NC)

Record details

NPI number1063889194
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 24, 2015
Last updated in NPPESAugust 24, 2015

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