Georgina C Buchanan

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

Q3-0010929 Issued in DE

Practice address

288 E Main St
Newark, DE 19711-7311

Phone

(302) 731-1022

NPI assigned

Apr 29, 2022

Last updated

Apr 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1651190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1275278699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 RED TIMBER LN",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199772544",
            "telephone_number": "302-442-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 E MAIN ST",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197117311",
            "telephone_number": "302-731-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "GEORGINA",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-29",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q3-0010929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@shapingmindstherapy.com",
            "affiliation": "N",
            "address_1": "288 E Main St",
            "city": "Newark",
            "state": "DE",
            "country_code": "US",
            "postal_code": "197117311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelli Hitchens Bruzik, LCSW
• Emily Bryant
• Emma Kaitlin Bryant, MD
• Kye Tarik Bryant Sr.
• Laura Bubacz, R.N.
• Karen Buck
• Patricia Buck
• Sharon Falkowski Buck, RN, APN
• Taylor Marie Buckley, MD
• Michael Cameron Buckmire, PT, DPT

• Clinical Social Worker in Newark, DE
• Providers in Newark, DE by specialty
• Clinical Social Worker in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.