Alice Yvette Buckles, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60315801 Issued in WA

Practice address

701 E 3Rd Ave
Spokane, WA 99202-6014

Phone

(509) 838-6092

Fax

(509) 838-6110

NPI assigned

Feb 20, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindful Therapy Group PC

  • Clinical Social Worker
  • Mountlake Terrace, WA
  • NPI 1316238678

  Mental Health

  Medicare reassignment Care Compare group NPD
• New Horizon Care Centers, Inc.

  • Community/Behavioral Health Agency
  • Spokane Valley, WA
  • NPI 1518186600
  Medicare reassignment NPD
• New Horizon Care Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Spokane, WA
  • NPI 1538388665
  NPD

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717113600000",
    "number": "1235479833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16540 N MORTON DR",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992087532",
            "telephone_number": "509-263-3717",
            "fax_number": "509-535-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E 3RD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992026014",
            "telephone_number": "509-838-6092",
            "fax_number": "509-838-6110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16540 N Morton Dr",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992087532",
            "country_code": "US",
            "telephone_number": "509-263-3717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKLES",
        "first_name": "ALICE",
        "middle_name": "YVETTE",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00004746",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WA",
            "license": "LW60315801",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60315801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia M Buchanan
• Janell Buchkoski
• Marina Elizabeth Buck, MSW
• Lacey Buckingham, LPC
• Ward Buckingham, M.D.
• Angelia Marie Buckles
• Karen Y Bucklin
• Alivia Elizabeth Buckner
• Erica V Buckner, B.A., M.S.W.
• Matthew Steven Buckner, MAT, LAT, ATC, C-PS

• Clinical Social Worker in Spokane, WA
• Providers in Spokane, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.