Megan Gene Buckley, CSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

A5485 Issued in OR

Practice address

850 SE Rose St
Roseburg, OR 97470-3942

Phone

(541) 900-1506

Fax

(541) 900-1507

NPI assigned

Aug 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Juniper Tree Counseling, LLC

  • Mental Health Counselor
  • Roseburg, OR
  • NPI 1679177612
  NPD
• Roseburg Clinic, P.C.

  • Otolaryngology Physician
  • Roseburg, OR
  • NPI 1841396405
  NPD (past)

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1104293083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SE ROSE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703942",
            "telephone_number": "541-900-1506",
            "fax_number": "541-900-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 SE ROSE ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703942",
            "telephone_number": "541-900-1506",
            "fax_number": "541-900-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MEGAN",
        "middle_name": "GENE",
        "credential": "CSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A5485",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Bryant, AU.D.
• Todd Allyn Bryson, CADC I
• Sallie Buchan
• Kendra Joanne Buchner
• Abigail Buckley
• Donna I Buerer
• Jessica I Bull
• Alisha Francine Bulthuis, PHARMD
• Calvin J Burch
• Tammy Jean Burch

• Clinical Social Worker in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; 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.