TAMARA BRUCATO (NPI# 1770829293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770829293 |
| Entity Type | Individual |
| Full Name | TAMARA BRUCATO |
| Credential | MSSW, LCSW, KPS |
| Practice Address |
1030 Shive Ln Bowling Green KY 42103 |
| Mailing Address |
2702 Industrial Dr Apt 610 Bowling Green KY 42101-4154 |
| Practice Telephone | 2709431851 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
253490 | KY | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
5907 | KY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 30604011 | 05 | |
| KY | 7100543720 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 380 Suwannee Trail St, Bowling Green, KY 421037956 | 2709015000 | 2708425268 |
| Street Address |
1030 SHIVE LN |
| City | BOWLING GREEN |
| State | KY |
| Zip Code | 42103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699854836 | Oasis Counseling, Inc | Social Worker | 1030 Shive Ln, Bowling Green, KY 42103-8037 | 2006-11-06 |
| 1831435379 | Phoenix Wellness Group, LLC | Clinic/Center | 1030 Shive Ln, Bowling Green, KY 42103-8037 | 2013-01-02 |
| 1669549739 | Jill K Duncan | Social Worker | 1030 Shive Ln, Bowling Green, KY 42103-8037 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679127781 | Kw Consulting, LLC | Counselor | 1054 Searcy Way, Suite E, Bowling Green, KY 42103 | 2019-07-26 |
| 1063999662 | Southern Kentucky Surgicenter, LLC | Clinic/Center | 484 Golden Autumn Way, Suite 100, Bowling Green, KY 42103 | 2018-07-26 |
| 1780170936 | Midsouth Psychological Services, LLC | Psychologist | 996 Wilkinson Trce Ste A8, Bowling Green, KY 42103 | 2018-07-10 |
| 1760976146 | Prorehab Inc | Clinic/Center | 1110 Wilkinson Trce Ste 101, Bowling Green, KY 42103 | 2018-06-19 |
| 1063927671 | James Toney | Counselor | 624 Eastwood St, Bowling Green, KY 42103 | 2017-12-05 |
| 1366979528 | Laura Elizabeth Compton | Optometrist | 335 New Towne Drive, Bowling Green, KY 42103 | 2017-05-18 |
| 1033562632 | Elizabette Raby | Massage Therapist | 427 Us-31 Bypass, Suite 203, Bowling Green, KY 42103 | 2016-07-19 |
| 1831572460 | Casey Edward Travelsted | Dentist | 940 Us 31 W Bypass, Bowling Green, KY 42103 | 2015-07-01 |
| 1821435074 | Robert Louis Skaggs II | Dermatology | 1818 Wallace Court, Suite 301, Bowling Green, KY 42103 | 2013-05-29 |
| 1770893257 | Michelle Howell | Health Educator | 261 Moats Lane, Bowling Green, KY 42103 | 2010-10-18 |
| Find all providers in zip 42103 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114544368 | Ariel Laverne Lee | Social Worker | 730 Fairview Ave Ste B1, Bowling Green, KY 42101-2365 | 2020-07-02 |
| 1548806441 | Hillary S Bacon | Social Worker | 1711 Ashley Cir Ste 6, Bowling Green, KY 42104-5801 | 2019-11-26 |
| 1306491576 | Jessica Mahaney | Social Worker | 1830 Destiny Ln Ste 112, Bowling Green, KY 42104-1089 | 2019-08-05 |
| 1619430444 | Dava R Wilson | Social Worker | 1143 Fairway St Ste 320, Bowling Green, KY 42103-2452 | 2019-04-09 |
| 1689180820 | Teri Drake | Social Worker | 1234 Ridgewood Dr, Bowling Green, OH 43402-2696 | 2017-12-26 |
| 1538698444 | Trevor Bowen Mead | Social Worker | 1306 Richland Way, Bowling Green, KY 42103-1540 | 2017-06-06 |
| 1689102204 | Johnson Counseling LLC | Social Worker | 996 Wilkinson Trce Ste A9, Bowling Green, KY 42103-3408 | 2017-05-25 |
| 1346696143 | Carolyn Kates-glass, Msw, Lcsw | Social Worker | 1338 Westen St, Bowling Green, KY 42104-3365 | 2016-05-11 |
| 1952765612 | Julie Mccoy | Social Worker | 855 Lovers Ln Ste 107, Bowling Green, KY 42103-7989 | 2016-04-08 |
| 1871967406 | Sarah L Whitledge | Social Worker | 1111 Shive Ln Ste 104, Bowling Green, KY 42103-8051 | 2015-11-19 |
| Find all providers in BOWLING GREEN | ||||
| City | BOWLING GREEN |
| Zip Code | 42103 |
Please comment or provide details below to improve the information on TAMARA BRUCATO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.