Individual provider Active NPI

Kara Bucci, LCSW

  • Clinical Social Worker
  • Beacon, NY
National Provider Identifier
1104248996
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088021 Issued in NY
Practice address
33 Henry St
Beacon, NY 12508-3006
Phone
(914) 801-8488
NPI assigned
Jan 13, 2014
Last updated
Jan 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 090511-1 NY
Clinical Social Worker 1041C0700X 088021 NY Primary

Addresses

Primary practice location

33 Henry St
Beacon, NY 12508-3006

Mailing address

33 Henry St
Beacon, NY 12508-3006
Phone (914) 801-8488

Other practice location 1

15 Peter Avenue
Newburgh, NY 12550
Phone (646) 477-7785

Other practice location 2

360 State Route 17M Ste 4
Monroe, NY 10950-3444
Phone (914) 801-8488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
090511-1NYMDSocial Worker
088021NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Therapy Group LCSW PLLC CurrentSince Jan 7, 2024 Accepting new patients

Locations

33 Henry St
Beacon, NY 12508
Phone (845) 235-5686

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578009600000",
    "number": "1104248996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HENRY ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083006",
            "telephone_number": "914-801-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 HENRY ST",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083006",
            "telephone_number": "914-801-8488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Peter Avenue",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "12550",
            "country_code": "US",
            "telephone_number": "646-477-7785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 State Route 17M Ste 4",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NY",
            "postal_code": "109503444",
            "country_code": "US",
            "telephone_number": "914-801-8488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCCI",
        "first_name": "KARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-13",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "090511-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.