Individual provider Active NPI

William Townsend Buckstine, LCSW

  • Clinical Social Worker
  • Bedford Hills, NY
National Provider Identifier
1063915247
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073574 Issued in NY
Practice address
333 Adams St
Bedford Hills, NY 10507-2001
Phone
(914) 242-0708
NPI assigned
Mar 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 073574 NY Primary

Addresses

Primary practice location

333 Adams St
Bedford Hills, NY 10507-2001

Mailing address

PO Box 21
Holmes, NY 12531-0021
Phone (914) 224-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20250709000360 NY Practitioner - Clinical Social Worker 6608380944 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Therapy Center LLPGroup PAC ID 4789653577, 14 clinicians

Practice addresses (Care Compare)

333 Adams St
Bedford Hills, NY 10507-2001
Phone 9142420725101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073574NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
TTC Psychiatric PC CurrentSince Feb 4, 2025 Accepting new patients

Locations

333 Adams St
Bedford Hills, NY 10507
Phone (914) 241-0758

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1520985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1063915247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21",
            "city": "HOLMES",
            "state": "NY",
            "postal_code": "125310021",
            "telephone_number": "914-224-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ADAMS ST",
            "city": "BEDFORD HILLS",
            "state": "NY",
            "postal_code": "105072001",
            "telephone_number": "914-242-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKSTINE",
        "first_name": "WILLIAM",
        "middle_name": "TOWNSEND",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-14",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford Hills, NY

Sources for this page

Verify at the official NPI Registry.