Buck Dodson Coaching

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BUCK DODSON COACHING

Practice address

4107 Medical Pkwy Ste 106
Austin, TX 78756-3701

Phone

(312) 636-7008

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Buck A Dodson, LCSW

Title

Owner

Phone

(312) 636-7008

Specialties & licenses 1

Addresses

Other names 1

• Buck Dodson Inc Other name

Locations

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1194355735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WALSH TARLTON LN APT 1424",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787467765",
            "telephone_number": "312-636-7008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 MEDICAL PKWY STE 106",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787563701",
            "telephone_number": "312-636-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCK DODSON COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "DODSON",
        "authorized_official_first_name": "BUCK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-636-7008",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buck Dodson Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Elizabeth L. Buchholz, M.D.
• William A. Buchholz, M.D.
• Jessica Buchner, LMFT
• Suzanne Buchner, NP
• Elias Angel Bucio, LVN
• Brian C. Buck, M.D.
• Jotina Lasha Buck
• Hailey Buckelew, MS, BCBA, LBA
• Sophie Elise Buckelew
• Kirsti Buckendorf, PA

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.