Theresa J Nuccio, MSW MASTER OF SOCIAL

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00006036 Issued in WA

Practice address

5426 California Ave SW
Seattle, WA 98136-1513

Phone

(206) 324-5616

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 23, 2018 through Feb 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1235353665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5426 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361513",
            "telephone_number": "206-324-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5426 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981361513",
            "telephone_number": "206-324-5616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2366 Eastlake Ave E",
            "address_2": "Suite 404",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981023394",
            "country_code": "US",
            "telephone_number": "206-324-5616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2366 Eastlake Ave E",
            "address_2": "Suite 404",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981023394",
            "country_code": "US",
            "telephone_number": "206-324-5616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2366 Eastlake Ave E",
            "address_2": "Suite 404",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981023394",
            "country_code": "US",
            "telephone_number": "206-324-5616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5426 California Ave SW",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981361513",
            "country_code": "US",
            "telephone_number": "206-324-5616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUCCIO",
        "first_name": "THERESA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "MSW MASTER OF SOCIAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00006036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Ciclali Noyola
• Maryam Martha Nozari
• Nua Counseling
• Michael James Nuara, M.D.
• Rochelle Nucci
• Simon Nuckles-Flinn
• Haley M Nuckles, BSN
• Julie Anne Nugent-Carney, PMHNP ARNP
• Yosief Gebreyohannes Nugusie, MSW
• Catherine J Null, R.PH

• Clinical Social Worker in Seattle, WA
• Providers in Seattle, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.