John Buckley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

51252 Issued in TX

Practice address

3355 Bee Cave Rd
Suite 507
West Lake Hills, TX 78746-6775

Phone

(512) 646-4041

NPI assigned

Sep 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1275882177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 LAWNMONT AVE",
            "address_2": "APT 209",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787561943",
            "telephone_number": "512-296-6354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 BEE CAVE RD",
            "address_2": "SUITE 507",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466775",
            "telephone_number": "512-646-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "JOHN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McKinnley A Brownstone
• Bruce Kruger, P.C.
• Stacy Elizabeth Bruce-Frederiksen, LCSW
• Ashley Bryant
• Caitlin M Buck, DPT
• Laurie A Buob, DC
• Julie Burke
• Jessica Burnett, MPS, LPC-A, ATR-P
• Maureen Sarah Burrows, MD
• Chris Butler, LAC

• Clinical Social Worker in West Lake Hills, TX
• Providers in West Lake Hills, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.