Vicki Bucciere, LMSW, ACSW, SAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801018346 Issued in MI

Practice address

149 North Ctr
Suite 200
Northville, MI 48167-1486

Phone

(248) 880-8684

Fax

(734) 738-6980

NPI assigned

Jun 15, 2014

Last updated

Jun 15, 2014By the provider in NPPES

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

Enrolled in MI

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, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Bluespace Counseling

  • Clinical Social Worker
  • Northville, MI
  • NPI 1902204787
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402790400000",
    "number": "1568876803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44511 BROADMOOR BLVD",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481688633",
            "telephone_number": "248-880-8684",
            "fax_number": "734-738-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 NORTH CTR",
            "address_2": "SUITE 200",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481671486",
            "telephone_number": "248-880-8684",
            "fax_number": "734-738-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCIERE",
        "first_name": "VICKI",
        "name_prefix": "Ms.",
        "credential": "LMSW, ACSW, SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-15",
        "last_updated": "2014-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801018346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lillian Paris Brown, RN
• Barbara Brunelle
• Addison Bryant
• Matthew Bryson, DDS
• BTL Medical
• Kimberly M. Buck, NURSE PRACTITIONER
• Tamia L Buckley, LLMSW
• Brett Bullard
• Angela Bum
• Starr Lynn Burke, NP

• Clinical Social Worker in Northville, MI
• Providers in Northville, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2014; 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.