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Contact Information

STACY I BUONOMO, LCSW
152 ZEMAN DRIVE
300
EBENSBURG , PA15931
 Phone: 814-846-5060
 Fax: 814-846-5070
 Website: https://primary-health.net/locationdetail.aspx?id=105
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for STACY I BUONOMO · (Female)

NPI # 1437546579
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 04/15/2015
Last updated 02/03/2025 - More than a year ago
Sole proprietor 1 No
Identifiers
  • PA License # CW019283
  • PA License # SW130278
  • PA Medicaid 1032264520001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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