Individual
ERICA SUSAN BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMHP
Contact information
Practice address
4669 POPPLETON AVE, OMAHA, NE 68106-2045
(402) 457-5905
Mailing address
4669 POPPLETON AVE, OMAHA, NE 68106-2045
(402) 457-5905
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
2080
NE
1041S0200X
School Social Worker
5731
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10942
LICENSE NUMBERS
NE
01
—
7079
LICENSE NUMBERS
NE
Enumeration date
10/08/2018
Last updated
04/01/2024
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