Provider Demographics
NPI:1467639732
Name:BUCCI, THEO FINNIE (LCSW)
Entity Type:Individual
Prefix:
First Name:THEO
Middle Name:FINNIE
Last Name:BUCCI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1330 BREEZEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WEST HOMESTEAD
Mailing Address - State:PA
Mailing Address - Zip Code:15120-1319
Mailing Address - Country:US
Mailing Address - Phone:412-432-9629
Mailing Address - Fax:412-404-3058
Practice Address - Street 1:5501 WALNUT ST UNIT 206
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-2329
Practice Address - Country:US
Practice Address - Phone:412-432-9629
Practice Address - Fax:412-404-3058
Is Sole Proprietor?:No
Enumeration Date:2008-01-29
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0155201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical