NPIMap

Organization Active NPI

Buckner Children & Family Services of Deep East Texas

  • Clinical Social Worker
  • Lufkin, TX
National Provider Identifier
1215070362
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW16181 Issued in TX
Legal business name
BUCKNER CHILDREN & FAMILY SERVICES OF DEEP EAST TEXAS
Practice address
3402 Daniel McCall Dr Ste 21
Lufkin, TX 75904-7191
Phone
(936) 637-3300
Fax
(936) 634-3384
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Judy Morgan
Title
Executive Director
Phone
(936) 637-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X SW16181 TX Primary

Addresses

Primary practice location

3402 Daniel McCall Dr Ste 21
Lufkin, TX 75904-7191

Mailing address

3402 Daniel McCall Dr Ste 21
Lufkin, TX 75904-7191
Phone (936) 637-3300

National Provider Directory

National Provider Directory
Tax ID family
Buckner Children Family Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3402 Daniel McCall Dr
Ste 21
Lufkin, TX 75904
Phone (936) 637-3300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215070362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 DANIEL MCCALL DR STE 21",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047191",
            "telephone_number": "936-637-3300",
            "fax_number": "936-634-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3402 DANIEL MCCALL DR STE 21",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759047191",
            "telephone_number": "936-637-3300",
            "fax_number": "936-634-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKNER CHILDREN & FAMILY SERVICES OF DEEP EAST TEXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "936-637-3300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "SW16181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.