Candace Buckley

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

7921 Issued in WI

Legal business name

CANDACE BUCKLEY

Practice address

W228S2323 Oriole Dr
Waukesha, WI 53186-6371

Phone

(262) 501-0770

NPI assigned

Oct 23, 2014

Last updated

Oct 23, 2014By 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. Candace Lynn Buckley, LCSWNPI 1871998070

Title

Social Worker

Phone

(262) 501-0770

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Candace Lynn Buckley, LCSW

  • Clinical Social Worker
  • Waukesha, WI
  • NPI 1871998070
  Authorized official Same address or phone

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

{
    "created_epoch": "1414022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1215332028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W228S2323 ORIOLE DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866371",
            "telephone_number": "262-501-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W228S2323 ORIOLE DR",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "531866371",
            "telephone_number": "262-501-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDACE BUCKLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "CANDACE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "262-501-0770",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "WI",
            "license": "7921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nanette M Cambronero, FNP
• Chelsea Campbell, PA-C
• Christy L Campbell, RN
• Jalesha K Campbell, MS
• James Marcel Campeaux, 2047132 CSAC 116
• Moeneek Cannaday
• Thomas P Cantieri, M.D.
• Ni Thi Mi Cao, PA-C
• Rylee R Capesius, PA
• Beethoven Carabacan, LAT, CSCS, BS, MS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.