Stacy Irene Buonomo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW019283 Issued in PA

Practice address

125 Emeryville Dr Suite 230
Cranberry Township, PA 16066

Phone

(724) 609-5002

Fax

(814) 942-9500

NPI assigned

Apr 15, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cognitive Behavior Institute, LLCGroup PAC ID 7810213337, 30 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Cognitive Behavior Institute, LLC

  • Clinical Social Worker
  • Cranberry TWP, PA
  • NPI 1669884409
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1437546579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BRAZIL LANE",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "15909",
            "telephone_number": "814-244-6748",
            "fax_number": "814-942-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EMERYVILLE DR SUITE 230",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "16066",
            "telephone_number": "724-609-5002",
            "fax_number": "814-942-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUONOMO",
        "first_name": "STACY",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW130278",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW019283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032264520001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsi Jo Bubb, AUD
• Kristen Bucklew, PHARMD
• Ian Bulow, D.C
• James Howard Bumbaugh, MD
• Gabriel Joshua Bungar
• Butler Vamc
• Jessica Lee Calhoon
• Jacob Scott Callaway, DC
• David S Campbell
• Nichole Campbell, NDTR

• Clinical Social Worker in Cranberry Township, PA
• Providers in Cranberry Township, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.