Provider Demographics
NPI:1003550674
Name:BUI, TAM T (LICSW)
Entity type:Individual
Prefix:
First Name:TAM
Middle Name:T
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 1:1730 MINOR AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98101-2402
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1730 MINOR AVE STE 400
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-2402
Practice Address - Country:US
Practice Address - Phone:844-552-2734
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1040901041C0700X
AK1646421041C0700X
ID37615771041C0700X
NMSWB-2025-02391041C0700X
ORL122461041C0700X
TX1155451041C0700X
MTBBH-LCSW-LIC-608301041C0700X
WALW606409071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical