Provider Demographics
NPI:1003550674
Name:BUI, TAMMIE (LICSW)
Entity Type:Individual
Prefix:
First Name:TAMMIE
Middle Name:
Last Name:BUI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:TAMMIE
Other - Middle Name:
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:800 5TH AVE STE 900
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3176
Mailing Address - Country:US
Mailing Address - Phone:415-444-6062
Mailing Address - Fax:
Practice Address - Street 1:800 5TH AVE STE 900
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3176
Practice Address - Country:US
Practice Address - Phone:415-444-6062
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW606409071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical