Henry Lomell Buckwalter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

254928 Issued in KY

Practice address

8910 Greeneway Commons PL Ste 100
Louisville, KY 40220-4065

Phone

(502) 377-4814

NPI assigned

Aug 10, 2018

Last updated

Jan 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sage Support Services

  • Community/Behavioral Health Agency
  • Louisville, KY
  • NPI 1639423577
  Medicare reassignment

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1033698097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9303 PINTO CT",
            "city": "FAIRDALE",
            "state": "KY",
            "postal_code": "401189105",
            "telephone_number": "502-377-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8910 GREENEWAY COMMONS PL STE 100",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204065",
            "telephone_number": "502-377-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKWALTER",
        "first_name": "HENRY",
        "middle_name": "LOMELL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-10",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Buckner, MFT-ASSOCIATE
• Lloyd Robert Buckner Jr., MS, BCBA
• Stephen J Buckner, APRN
• Takatiya Buckner
• Taylor Buckner
• Chloe Buday, RBT
• Ellen Taylor Buddeke, LCSW
• Buechel Rehabilitation and Occupational Therapy Center
• Audra Danielle Buechler
• Julia Marie Buechler

• Clinical Social Worker in Louisville, KY
• Providers in Louisville, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.

Verify at the official NPI Registry.