MEDICARE: THEO FINNIE BUCCI 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	CW015520	PA

General Provider Information

NPI Number	:	1467639732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THEO FINNIE BUCCI LCSW

Provider Business Mailing Address
First Line	:	1330 BREEZEWOOD DR
Second Line	:
City	:	WEST HOMESTEAD
State	:	PA
Zip	:	15120-1319
Country	:	US
Telephone Number	:	412-432-9629
Fax Number	:	412-404-3058

Provider Business Practice Location Address
First Line	:	5501 WALNUT ST UNIT 206
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15232-2329
Country	:	US
Telephone Number	:	412-432-9629
Fax Number	:	412-404-3058

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

Provider Enumeration Date	:	01/29/2008
Last Update Date	:	06/30/2020

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Directions to “ THEO FINNIE BUCCI LCSW” Practice Location

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