Provider Demographics
NPI:1174010227
Name:TAFFIE BUCCI, LCSW, LLC
Entity Type:Organization
Organization Name:TAFFIE BUCCI, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TAFFIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCCI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:412-432-9629
Mailing Address - Street 1:425 N CRAIG ST STE 302
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-1154
Mailing Address - Country:US
Mailing Address - Phone:412-432-9629
Mailing Address - Fax:412-404-3058
Practice Address - Street 1:425 N CRAIG ST STE 302
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-1154
Practice Address - Country:US
Practice Address - Phone:412-432-9629
Practice Address - Fax:412-404-3058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-15
Last Update Date:2018-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0155201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty