Provider Demographics
NPI:1447436043
Name:BUSCEMI, CARY SUE (MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:CARY
Middle Name:SUE
Last Name:BUSCEMI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 572
Mailing Address - Street 2:
Mailing Address - City:NAGS HEAD
Mailing Address - State:NC
Mailing Address - Zip Code:27959-0572
Mailing Address - Country:US
Mailing Address - Phone:252-255-1902
Mailing Address - Fax:252-255-1902
Practice Address - Street 1:106 W WOOD HILL DR
Practice Address - Street 2:
Practice Address - City:NAGS HEAD
Practice Address - State:NC
Practice Address - Zip Code:27959-9394
Practice Address - Country:US
Practice Address - Phone:252-255-1902
Practice Address - Fax:252-255-1902
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0059041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical