Bridgett Buckery LCSW PLLC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

BRIDGETT BUCKERY LCSW PLLC

Doing business as

Buckery-Smith Consulting Services, LLC

Practice address

19011 119TH Ave Ste a
Saint Albans, NY 11412-3324

Phone

(718) 415-0871

NPI assigned

Apr 15, 2019

Last updated

Aug 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bridgett Buckery, LCSWR

Title

President , Ceo

Phone

(718) 415-0871

Specialties & licenses 1

Addresses

Other names 1

• Buckery-Smith Consulting Services, LLC Doing business as

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566950400000",
    "number": "1205499324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19011 119TH AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123324",
            "telephone_number": "718-415-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19011 119TH AVE STE A",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123324",
            "telephone_number": "718-415-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGETT BUCKERY LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-08-28",
        "status": "A",
        "authorized_official_last_name": "BUCKERY",
        "authorized_official_first_name": "BRIDGETT",
        "authorized_official_title_or_position": "PRESIDENT , CEO",
        "authorized_official_telephone_number": "718-415-0871",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSWR"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckery-Smith Consulting Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buckery-Smith Consulting Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ayanna Brabham, MSED
• Cheryl E Brabham, M.S.ED
• Josette Iola Brand, MSOTR/L
• Conetta Embodu Natasha Brantch
• Kim Iona Bravo, MINISTER OF RELIGION
• Peter Briskie, OTR/L
• David Francis Brooks, MA-CCC/SLP
• Sharon Lorraine Brooks
• Belleissia Brown
• Gary Brown

• Social Worker in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.