Individual provider Active NPI

Kiera Buchanan, LCSW

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1215103064
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05354900 Issued in NJ
Practice address
2051 Springdale Rd
Cherry Hill, NJ 08003-1603
Phone
(856) 254-3800
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05354900 NJ Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

2051 Springdale Rd
Cherry Hill, NJ 08003-1603

Mailing address

847 Lafayette Dr
Mount Laurel, NJ 08054-3210

Other practice location 1

57 Haddonfield Rd
ste 125
Cherry Hill, NJ 08002-4813
Phone (856) 254-3800

Other practice location 2

1200 S Church St Ste 20
Mount Laurel, NJ 08054-2936
Phone (856) 334-0604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080823000084 NJ Practitioner - Clinical Social Worker 2961577085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05354900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Oaks Community Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1215103064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 LAFAYETTE DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080543210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031603",
            "telephone_number": "856-254-3800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Haddonfield Rd",
            "address_2": "ste 125",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080024813",
            "country_code": "US",
            "telephone_number": "856-254-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S Church St Ste 20",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080542936",
            "country_code": "US",
            "telephone_number": "856-334-0604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "KIERA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05354900",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.