Theodore Roosevelt Bush
Clinical Social Worker · Durham, NC
Theodore Roosevelt Bush is a clinical social worker with a practice address in Durham, North Carolina, and NPI 1063889194, issued on Aug 24, 2015. Check the license (North Carolina P009689, as entered in NPPES) with the North Carolina board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Theodore Roosevelt Bush
- Primary taxonomy
- Clinical Social Worker 1041C0700X
- License number
- P009689 NC
Self-reported in NPPES; status is on the state search - Practice location
- 309 Crutchfield St, Durham, NC 27704
- Phone
- (919) 560-7305
- Enumerated
- Aug 24, 2015
- Record last updated
- Aug 24, 2015 (not updated in 11 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest clinical social worker records → All 15,561 in North Carolina → Look up another NPI →
Also registered at 309 Crutchfield St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Bukola Adegbola, PMHNPPsychiatric/Mental Health Nurse Practitioner1346928454
- Nathania Allen, LCASAAddiction (Substance Use Disorder) Counselor1447788500
- Donald Aytch, PH.D.Psychologist1063446243
- Ward Baggett, LCSWClinical Social Worker1144551920
- Robert Beni, PSSPeer Specialist1942141684
- Erica Brandon, LCSWAClinical Social Worker1477067569
Verify Theodore Roosevelt Bush in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich North Carolina board licenses this profession
Search for license P009689Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Theodore Roosevelt Bush among 15,561 clinical social worker records in North Carolina
Theodore Roosevelt Bush is one of 15,561 clinical social worker records with a practice address in North Carolina. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2015, is newer than 36% of them.
- NPI issued2015 · 36% of these records are older, 61% newer
- In a Medicare fileNo · 9% of these records are
- In the CMS Doctors and Clinicians fileNo · 14% of these records are
- Record last updated2015 · 46% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 1041C0700X and a North Carolina practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
1,204 clinical social worker records list a practice address in Durham
They are 1,204 of the 13,451 NPPES records with a practice address in Durham, and 15,561 clinical social worker records in North Carolina. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 15,561 in North Carolina → Every provider in Durham → Clinical Social Worker nationwide →
The 8 clinical social worker records with the nearest ZIP codes
- Anita Daniels, LCSWDurham, NC 277041750309753
- Elizabeth Deal, MSW, LCSWDurham, NC 277041710031695
- Michael Doolen, LCSWDurham, NC 277041649232208
- Dorene Goodfriend, LCSWDurham, NC 277041306974043
- Anne Herron, MSW,LCSWDurham, NC 277041023234937
- Margaret Howard, MSW ACSW LCSWDurham, NC 277041578678942
- Sarah Mason, LCSWDurham, NC 277041467558262
- Jennifer Mize, LCSWDurham, NC 277041992853576
Common questions
What is Theodore Roosevelt Bush's NPI number?
Theodore Roosevelt Bush's National Provider Identifier (NPI) is 1063889194, issued on Aug 24, 2015. An NPI identifies a provider in billing; it is not a license.
Where is Theodore Roosevelt Bush located?
The NPPES record lists a practice address at 309 Crutchfield St, Durham, NC, 27704. Phone: (919) 560-7305. Providers update this record themselves, so call before visiting.
How can I verify Theodore Roosevelt Bush's license?
NPPES lists North Carolina license number P009689, as entered by the provider. Search the North Carolina board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.