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

Individual provider Clinical Social Worker · NPI 1619486081

Selena Bush, LCSW is a Clinical Social Worker in Gouverneur, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
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

4673 State Highway 58
Gouverneur, NY 13642-3202
Phone: (386) 888-6464
Fax: (386) 888-6465
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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 085840-1 (NY)

Record details

NPI number1619486081
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedSeptember 28, 2017
Last updated in NPPESDecember 31, 2020
Certification dateDecember 31, 2020

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