Active NPI
Ashley Marie Buck, LCSW
- Clinical Social Worker
- Du Bois, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW021637
- Practice address
- 30 W Park Ave
Du Bois, PA 15801-2452 - Phone
- (814) 771-5254
- NPI assigned
- Oct 29, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW133530 | PA | |
| Clinical Social Worker | 1041C0700X | CW021637 | PA | Primary |
Addresses
Primary practice location
30 W Park Ave
Du Bois, PA 15801-2452
Mailing address
PO Box 564
Hyde, PA 16843-0564
Phone (814) 771-5254
Other practice location 1
190 Match Factory Pl
Bellefonte, PA 16823-1367
Phone (814) 353-1487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW133530 | PA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
| Caring Healthcare Network | Current | Accepting new patients | |
| Caring Healthcare Network | Current | Accepting new patients | |
| Caring Healthcare Network | Current | Accepting new patients | |
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
100 Chestnut Ave
Altoona, PA 16601
Phone (814) 201-5266
1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177
18 N Front St
Philipsburg, PA 16866
Phone (814) 201-5266
187 Hospital Dr
Tyrone, PA 16686
Phone (814) 342-2333
Networks
- devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
Interoperability endpoints
- ashleybuck@tdh.allscriptsdirect.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rural Health Clinic/Center
- Philipsburg, PA
- NPI 1417260266
-
- Interventional Pain Medicine Physician
- Johnstown, PA
- NPI 1780446377
-
- Interventional Pain Medicine Physician
- Altoona, PA
- NPI 1942845177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616112000000",
"number": "1013469600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 564",
"city": "HYDE",
"state": "PA",
"postal_code": "168430564",
"telephone_number": "814-771-5254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W PARK AVE",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158012452",
"telephone_number": "814-771-5254"
}
],
"practiceLocations": [
{
"address_1": "190 Match Factory Pl",
"address_purpose": "LOCATION",
"city": "Bellefonte",
"state": "PA",
"postal_code": "168231367",
"country_code": "US",
"telephone_number": "814-353-1487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCK",
"first_name": "ASHLEY",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-29",
"last_updated": "2021-03-19",
"certification_date": "2021-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW133530",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW021637",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.