Maura Buckley

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

089677 Issued in NY

Practice address

3100 47TH Ave Ste 3100
Long Island City, NY 11101-3050

Phone

(860) 550-3560

NPI assigned

Jun 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 4, 2025 through Jan 4, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1104442276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 W ELM ST APT A4",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 47TH AVE STE 3100",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111013050",
            "telephone_number": "860-550-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-11-27",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "happierliving.com",
            "affiliation": "Y",
            "affiliationName": "HLCA, Inc.",
            "address_1": "3100 47th Ave Ste 3100",
            "city": "Long Island City",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111013050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Odette Marvia Brown
• Rena' Brown
• Sheba Brown, PA-C
• Ciera K Brunson, RN
• Nicole Josephine Bruzzese, RPA-C
• Hazel Rumbaua Buenavista, M.D.
• Haley Buggy, PA-C
• Milagros Bulatao
• Sirah Bulkan, M.D.
• Concepcion Alejandra Bulo, MS, RD, CDN, CLC

• Clinical Social Worker in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.