Callie Reed Buckner, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C016795 Issued in NC

Practice address

5700 Executive Center Dr Ste 200
Charlotte, NC 28212-8833

Phone

(704) 832-2200

Fax

(704) 838-1541

NPI assigned

Jul 8, 2021

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Empower Wellness Counseling PLLC

  • Mental Health Counselor
  • Cornelius, NC
  • NPI 1932090164
  NPD Authorized official
• Evolving to Independence

  • Social Worker
  • Charlotte, NC
  • NPI 1487592911
  NPD Authorized official

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766880000000",
    "number": "1154992402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1",
            "city": "BARIUM SPRINGS",
            "state": "NC",
            "postal_code": "280100001",
            "telephone_number": "704-832-2200",
            "fax_number": "704-838-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 EXECUTIVE CENTER DR STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282128833",
            "telephone_number": "704-832-2200",
            "fax_number": "704-838-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "CALLIE",
        "middle_name": "REED",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2025-12-28",
        "certification_date": "2025-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C016795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "P016217",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCSW",
            "identifier": "C016795",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Atkison Buckley, CD-L
• Kevin Stuart Buckley, MD
• Lashena Sharay Buckley
• Kylie Buckman, L.AC, DIPL. OM
• Buckner LTD Co
• Kimberly Beth Buckner, DNP
• Sharon Denise Buckner, LPC-P-LCAS
• Olivia Erin Buckoski, PHARMD
• Matthew Budavich, D.C.
• Erin E Budd, PT

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2025; 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.