Carrie Mae Buddington, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

128109 Issued in MA

Practice address

172 Washington St Apt 240
Pembroke, MA 02359-1825

Phone

(339) 222-2891

NPI assigned

Nov 5, 2021

Sex

Female

Sole proprietor

Yes

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 MA

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

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1114682986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 WASHINGTON ST APT 240",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591825",
            "telephone_number": "339-222-2891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 WASHINGTON ST APT 240",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023591825",
            "telephone_number": "339-222-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDINGTON",
        "first_name": "CARRIE",
        "middle_name": "MAE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-05",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "128109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaun Bries, LICSW, EMDR
• Kimberly Brooks
• Peter Brown, MD
• Annmarie Bucca
• Paola Buchanan, NP
• Erik Buford
• Elisabeth Reese Burke
• Shannon Leigh Burnham, M.D.
• Sarah P Burns, MS, CCC-SLP
• Carly Butler

• Clinical Social Worker in Pembroke, MA
• Providers in Pembroke, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.