Individual provider Active NPI

Deanna Marie Bucci, LCSW-R

  • Clinical Social Worker
  • Alden, NY
National Provider Identifier
1982885216
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R081390 Issued in NY
Practice address
11901 Broadway St
Alden, NY 14004-9454
Phone
(716) 937-3300
Fax
(716) 937-3304
NPI assigned
Nov 15, 2007
Last updated
Nov 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 082617-1 NY
Clinical Social Worker 1041C0700X R081390 NY Primary

Addresses

Primary practice location

11901 Broadway St
Alden, NY 14004-9454

Mailing address

11901 Broadway St
Alden, NY 14004-9454
Phone (585) 813-1017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140311000885 NY Practitioner - Clinical Social Worker 6406086545 Practice locations: Alden, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11901 Broadway St
Alden, NY 14004-9454
Phone (716) 937-3300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082617-1NYMDSocial Worker
R081390NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Alden Mental Health Counseling Wellness, PLLC CurrentSince Feb 1, 2024 Accepting new patients
Alden Counseling & Wellness, LLC Clinical PastSince Nov 21, 2021 Accepting new patients
Bobbi L Petranchuk LCSW PLLC Clinical Past Accepting new patients

Locations

11901 Broadway St
Alden, NY 14004
Phone (716) 937-3300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1982885216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140049454",
            "telephone_number": "585-813-1017",
            "fax_number": "716-937-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 BROADWAY ST",
            "city": "ALDEN",
            "state": "NY",
            "postal_code": "140049454",
            "telephone_number": "716-937-3300",
            "fax_number": "716-937-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCI",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "082617-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R081390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alden, NY

Sources for this page

Verify at the official NPI Registry.