Provider Demographics
NPI:1053611376
Name:BUI, THUY (LCSW)
Entity type:Individual
Prefix:
First Name:THUY
Middle Name:
Last Name:BUI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1337 CAMINO DEL MAR
Mailing Address - Street 2:SUITE B
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2504
Mailing Address - Country:US
Mailing Address - Phone:877-361-2551
Mailing Address - Fax:877-361-2551
Practice Address - Street 1:1337 CAMINO DEL MAR
Practice Address - Street 2:SUITE B
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2504
Practice Address - Country:US
Practice Address - Phone:877-361-2551
Practice Address - Fax:877-361-2551
Is Sole Proprietor?:No
Enumeration Date:2010-11-02
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA262651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical