Amy Buckley LCSW

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

AMY BUCKLEY LCSW

Practice address

755 Montauk Hwy
Oakdale, NY 11769-1801

Phone

(631) 942-5733

NPI assigned

May 14, 2024

Last updated

May 14, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Buckley, LCSWNPI 1710008800

Title

Clinical Social Worker

Phone

(631) 942-5733

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Lynne Buckley, LCSW

  • Clinical Social Worker
  • Port Jefferson, NY
  • NPI 1710008800
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1013766062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 LUDLOW WAY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117692229",
            "telephone_number": "631-942-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MONTAUK HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691801",
            "telephone_number": "631-942-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMY BUCKLEY LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "631-942-5733",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Evette Agudio, MASTER COUNSELOR
• Annamarie Elizabeth Albolote-Milewczik, P.T., M.S.
• All Aboard Learning LLC
• Amanda Salazar, Inc
• Jonathan Michael Amato, DPT, OCS
• Kelly Ann Andriano, RPH
• Danielle Ashby
• Salil Bakshi, M.D.
• Mary Ann Beatty, PTA
• Al Ira Berger, DDS

• Adult Mental Health Clinic/Center in Oakdale, NY
• Providers in Oakdale, NY by specialty
• Adult Mental Health Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.