MEDICARE: EMELY BUENO MSW, 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	2220-123	WI
2	1041C0700X	Clinical Social Worker	ISW04324	RI
3	1041C0700X	Clinical Social Worker	5226	NH
4	1041C0700X	Clinical Social Worker	6801119389	MI
5	1041C0700X	Clinical Social Worker	66987	TX

General Provider Information

NPI Number	:	1073236709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMELY BUENO MSW, LCSW

Provider Business Mailing Address
First Line	:	11070 KATY FWY APT 1366
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-4771
Country	:	US
Telephone Number	:	401-419-5328
Fax Number	:

Provider Business Practice Location Address
First Line	:	11070 KATY FWY APT 1366
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-4771
Country	:	US
Telephone Number	:	401-419-5328
Fax Number	:

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

Provider Enumeration Date	:	09/19/2022
Last Update Date	:	05/20/2025

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