Casey Bucceri, LCSW, LCADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC06391500 Issued in NJ

Practice address

920 Belmont Ave Apt 2304
North Haledon, NJ 07508-2676

Phone

(973) 283-0374

NPI assigned

Nov 14, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Specialized Therapy Associates

  • Adult Mental Health Clinic/Center
  • Hackensack, NJ
  • NPI 1407953896
  NPD (past)

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1720796105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 BELMONT AVE APT 2304",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082676",
            "telephone_number": "973-283-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 BELMONT AVE APT 2304",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "075082676",
            "telephone_number": "973-283-0374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCERI",
        "first_name": "CASEY",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-14",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00360900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC06391500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rawan Barmil, LSW
• Bergen Counseling Collaborative
• Marissa D Blakely
• Greta Botbyl
• Allan Braunstein, D.M.D.
• Rosario Calero-Bai
• Vanessa Isabel Campo, LPC
• Patrick Frank Capizzi, DC
• Hailey Carlino
• Carmen John Occhiuzzi DC, L.L.C.

• Clinical Social Worker in North Haledon, NJ
• Providers in North Haledon, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.