Active NPI
Corey Mead Buck, LMSW
- Social Worker
- Victoria, TX
National Provider Identifier
1144375189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 38776
- Practice address
- 1502 E Airline Rd Ste 40
Victoria, TX 77901-4116 - Phone
- (361) 582-7700
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 38776 | TX | Primary |
Addresses
Primary practice location
1502 E Airline Rd Ste 40
Victoria, TX 77901-4116
Mailing address
1502 E Airline Rd Ste 40
Victoria, TX 77901-4116
Phone (361) 582-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38776 | TX | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144375189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1502 E AIRLINE RD STE 40",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779014116",
"telephone_number": "361-582-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1502 E AIRLINE RD STE 40",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779014116",
"telephone_number": "361-582-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "COREY",
"middle_name": "MEAD",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "38776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.