Stacey Karcher Bukuras, LICSW
Individual provider Active NPI Clinical Social Worker · Winchester, MA
NPI 1225755721 · NPPES record last updated Oct 25, 2022
Key facts
- NPI
- 1225755721
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 125328 (MA)
- Practice address
- 586 Washington St
Winchester, MA 01890-1327 - Phone
- (617) 306-2912
- NPI assigned
- Oct 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125328 | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 125328 | MA | Yes |
Addresses
Primary practice location
586 Washington St
Winchester, MA 01890-1327
Mailing address
586 Washington St
Winchester, MA 01890-1327
Phone (617) 306-2912
Other providers in Winchester, MA
- William L Breckwoldt III
- Bridge Consultants PLLC
- Bridge to Healing Psychotherapy LLC
- Patrick F Brophy
- Jeffrey Stuart Brown
- Jessica Marie Burns
- Vincent J Buscemi
- Richard H. Bush
- Megan Cabrera
- Linda Ann Cahill
All providers in Winchester, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.