NICOLE LEE BUSH (LCSW) – Clinical Social Worker, NPI 1538435169

NICOLE LEE BUSH (LCSW) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 4183 (OK). The NPI Number for NICOLE LEE BUSH (LCSW) is 1538435169

Main info

Female
Sole Proprietor
22 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE LEE BUSH (LCSW)
NPI
1538435169
Phone
(405) 568-0400
Address
2524 NW 33RD ST
Enumeration Date
28 March 2012
Last Update Date
28 March 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4055794111
Graduation Year
2004 (22 years ago)
PAC ID
3971766932
Group Practice PAC ID
3971866484
Professional Enrollment ID
I20120531000625
Address ID
OK730694012NO2201XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

Provider Addresses for NICOLE LEE BUSH (LCSW)

  • 2524 NW 33RD ST

    OKLAHOMA CITY, OK 731127628

    Phone: (405) 568-0400

    Fax: (888) 494-7966

    Type: Mailing

  • 448 36TH AVE NW

    SUITE 101

    NORMAN, OK 730724746

    Phone: (405) 573-9905

    Fax: (405) 701-0590

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2012-05-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20120531000625IClinical Social WorkerOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour40436$0
90791Psychiatric diagnostic evaluation1616$0
View full utilization report →

Insurance plans in this area (ZIP 73112)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971866484View full group profile
NameSpecialtyState
Mental Health CounselorOK
-OK
Nurse PractitionerOK
Physician AssistantOK
P S Y C H I A T R YOK
Nurse PractitionerOK
Nurse PractitionerOK
Mental Health CounselorOK
Nurse PractitionerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

Is NICOLE LEE BUSH (LCSW) listed with a National Provider Identifier?
Yes — NICOLE LEE BUSH (LCSW) has NPI 1538435169 on file in the registry.
Is NICOLE LEE BUSH (LCSW) still an active registrant?
NICOLE LEE BUSH (LCSW) carries an active NPI according to the public dataset.
What area of care is associated with NICOLE LEE BUSH (LCSW)?
NICOLE LEE BUSH (LCSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What locale is associated with NICOLE LEE BUSH (LCSW)?
Directory geography for NICOLE LEE BUSH (LCSW) centers on Oklahoma City, Oklahoma.
When was this NPI issued?
Enumeration for NICOLE LEE BUSH (LCSW) is noted as March 28, 2012 where the registry provides it.

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