Active NPI
Mary Magdalene Buhman, LCSW
- Clinical Social Worker
- Scottsdale, AZ
National Provider Identifier
1073580239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 16805
- Practice address
- 1717 N 77TH St Ste 7
Scottsdale, AZ 85257-2253 - Phone
- (480) 570-5830
- Fax
- (877) 265-2943
- NPI assigned
- Mar 7, 2006
- 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 | 06347 | IA | |
| Clinical Social Worker | 1041C0700X | 16805 | AZ | Primary |
Addresses
Primary practice location
1717 N 77TH St Ste 7
Scottsdale, AZ 85257-2253
Mailing address
1717 N 77TH St Ste 4
Scottsdale, AZ 85257-2253
Phone (480) 570-5830
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 600247029 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171215001371 | AZ | Practitioner - Clinical Social Worker | 0648361543 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- University of Nebraska College of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1717 N 77TH St
Suite 4
Scottsdale, AZ 85257-2253
Phone (712) 540-3063
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16805 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Family Solutions Services, Inc. | Past | Accepting new patients | |
| Plains Area Mental Health, Inc. | Past | Accepting new patients | |
| Plains Area Mental Health, Inc. | Past | Accepting new patients |
Locations
3141 N 3rd Ave
Ste 100
Phoenix, AZ 85013
Phone (602) 914-1520
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
Organizations & group practices 7
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.
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
AZ
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
-
- Dermatology Physician
- Phoenix, AZ
- NPI 1972836088
-
- Community/Behavioral Health Agency
- Orange City, IA
- NPI 1891870374
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Le Mars, IA
- NPI 1356198147
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Le Mars, IA
- NPI 1801867734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609977600000",
"number": "1073580239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 N 77TH ST STE 4",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852572253",
"telephone_number": "480-570-5830",
"fax_number": "877-265-2943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 N 77TH ST STE 7",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852572253",
"telephone_number": "480-570-5830",
"fax_number": "877-265-2943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUHMAN",
"first_name": "MARY",
"middle_name": "MAGDALENE",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-03-07",
"last_updated": "2021-01-07",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IA",
"license": "06347",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "16805",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "600247029",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.