MEDICARE: HILARY A BUCELL LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	11852	CT
2	1041C0700X	Clinical Social Worker	094219	NY
3	1041C0700X	Clinical Social Worker	22457	PA

General Provider Information

NPI Number	:	1699436287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HILARY A BUCELL LCSW

Provider Business Mailing Address
First Line	:	1500 CHESTNUT ST # 1321
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-2737
Country	:	US
Telephone Number	:	914-893-2692
Fax Number	:

Provider Business Practice Location Address
First Line	:	1500 CHESTNUT ST # 1321
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19102-2737
Country	:	US
Telephone Number	:	914-893-2692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2022
Last Update Date	:	03/06/2025

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