Michelle Marie Buckley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

64164 Issued in CA

Practice address

1885 Lundy Ave Ste 223
San Jose, CA 95131-1888

Phone

(408) 781-7036

NPI assigned

Aug 5, 2008

Last updated

Feb 17, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1184880510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1885 LUNDY AVE STE 223",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311888",
            "telephone_number": "408-781-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1885 LUNDY AVE STE 223",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951311888",
            "telephone_number": "408-781-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "64164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Buchignani
• Amber Buckholz
• Bruce Alder Buckingham, MD
• Beverly Buckley
• Effie Mae Buckley, R.N., M.N.
• Marsha Michelle Buckson, LCSW
• Kenneth Bucu
• Netchanuch Budda
• Pritish Rajesh Budhrani
• Lori Lee Buelna, LCSW

• Clinical Social Worker in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Social Worker in California

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