Individual provider Active NPI

Susan Buckler-Miller, LSW LICENSED SOCIAL

  • Social Worker
  • Danville, PA
National Provider Identifier
1316049273
Registry record updated Jan 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW011554L Issued in PA
Practice address
23 Majestic Dr
Danville, PA 17821-9773
Phone
(570) 437-2227
Fax
(570) 437-2207
NPI assigned
Sep 2, 2006
Last updated
Jan 4, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW011554L PA Primary

Addresses

Primary practice location

23 Majestic Dr
Danville, PA 17821-9773

Mailing address

23 Majestic Dr
Danville, PA 17821-9773
Phone (570) 437-2227

Other identifiers 1

IdentifierTypeStateIssuer
1016231590001OtherPAMEDICADE

Other names 1

  • Susan Buckler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW011554LPAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515024000000",
    "number": "1316049273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAJESTIC DR",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219773",
            "telephone_number": "570-437-2227",
            "fax_number": "570-437-2207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAJESTIC DR",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178219773",
            "telephone_number": "570-437-2227",
            "fax_number": "570-437-2207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLER-MILLER",
        "first_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "LSW LICENSED SOCIAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2018-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW011554L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICADE",
            "identifier": "1016231590001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BUCKLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Danville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2018; 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.