Individual provider Active NPI

Liana Buccieri, LICSW

  • Clinical Social Worker
  • Dorchester, MA
National Provider Identifier
1831333020
Registry record updated Jan 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
115358 Issued in MA
Practice address
141 Savin Hill Ave
#A-11
Dorchester, MA 02125-1083
Phone
(617) 633-2957
NPI assigned
May 1, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2010

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 115358 MA Primary

Addresses

Primary practice location

141 Savin Hill Ave
#A-11
Dorchester, MA 02125-1083

Mailing address

141 Savin Hill Ave
#A-11
Dorchester, MA 02125-1083
Phone (617) 633-2957

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
115358MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264377600000",
    "number": "1831333020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SAVIN HILL AVE",
            "address_2": "#A-11",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021251083",
            "telephone_number": "617-633-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SAVIN HILL AVE",
            "address_2": "#A-11",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021251083",
            "telephone_number": "617-633-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCIERI",
        "first_name": "LIANA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-01",
        "last_updated": "2010-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "115358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dorchester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.