Individual provider Active NPI

Theo Finnie Bucci, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1467639732
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015520 Issued in PA
Practice address
5501 Walnut St Unit 206
Pittsburgh, PA 15232-2329
Phone
(412) 432-9629
Fax
(412) 404-3058
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW015520 PA Primary

Addresses

Primary practice location

5501 Walnut St Unit 206
Pittsburgh, PA 15232-2329

Mailing address

1330 Breezewood Dr
West Homestead, PA 15120-1319
Phone (412) 432-9629

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101102000227 PA Practitioner - Clinical Social Worker 8123212321 Reassigns benefits to 1 organization
Practice locations: Pittsburgh, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Aug 12, 2023 Accepting new patients
June V Isaly & Associates Inc CurrentSince Feb 20, 1991 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

4721 McKnight Rd
Ste 218S
Pittsburgh, PA 15237
Phone (412) 369-4285

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1467639732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 BREEZEWOOD DR",
            "city": "WEST HOMESTEAD",
            "state": "PA",
            "postal_code": "151201319",
            "telephone_number": "412-432-9629",
            "fax_number": "412-404-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 WALNUT ST UNIT 206",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152322329",
            "telephone_number": "412-432-9629",
            "fax_number": "412-404-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCI",
        "first_name": "THEO",
        "middle_name": "FINNIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.