Carol Elaine Buffi, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3517243501 Issued in UT

Practice address

2832 W 4700 S
Suite a
Taylorsville, UT 84129-2155

Phone

(801) 703-7911

Fax

(866) 614-0752

NPI assigned

Sep 6, 2011

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

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.

• Lakeside Counseling

  • Clinical Social Worker
  • Taylorsville, UT
  • NPI 1245636430
  NPD Authorized official

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

{
    "created_epoch": "1315267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1538440474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 S 4985 W",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841201700",
            "telephone_number": "801-703-7911",
            "fax_number": "866-614-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2832 W 4700 S",
            "address_2": "SUITE A",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841292155",
            "telephone_number": "801-703-7911",
            "fax_number": "866-614-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFI",
        "first_name": "CAROL",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-06",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "3517243501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delsie Anne Bruehl
• Michael Douglas Brunson, PH.D.
• Justice Bryant
• McKenna Elise Bryce
• Bo Mark Buchi, CMHC
• Jessica Bundy
• Christine E Burgess, LCSW
• Livia Burgett
• Bentli Burgon
• Annette Burke

• Clinical Social Worker in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.