Buonomo, Stacy Irene

Buonomo, Stacy Irene is an individual health care provider with primary practice located at 125 Emeryville Dr Suite 230 , Cranberry Township PA 16066. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Buonomo, Stacy Irene can be contacted via phone (724) 609-5002.

Contact Information

Primary practice address
125 Emeryville Dr Suite 230 Cranberry Township PA 16066
Phone: (724) 609-5002
Fax: (814) 942-9500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X SW130278 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW019283 Pennsylvania

Profile Details

NPI number 1437546579
LBN Legal business name Buonomo, Stacy Irene
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 15th, 2015
Last updated Feb 3rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437546579 NPPES
Pennsylvania MEDICAID 1032264520001

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