Mary Susan Buckley-Hamm

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW139028 Issued in PA

Practice address

1120 Hobart Ave Ste C
Wyomissing, PA 19610-2028

Phone

(610) 371-8035

Fax

(610) 685-2679

NPI assigned

Feb 4, 2022

Last updated

Feb 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Concern Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wyomissing, PA
  • NPI 1285887802
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reading, PA
  • NPI 1003410499
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Clinic/Center
  • Leesport, PA
  • NPI 1023843448
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Adolescent and Children Mental Health Clinic/Center
  • Allentown, PA
  • NPI 1053178764
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reading, PA
  • NPI 1245824937
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Morgantown, PA
  • NPI 1467594374
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reading, PA
  • NPI 1588258503
  NPD (past)
• Concern-Professional Services for Children, Youth & Families

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reading, PA
  • NPI 1972197663
  NPD (past)

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

{
    "created_epoch": "1643932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1326792706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BROWNSVILLE RD",
            "city": "ROBESONIA",
            "state": "PA",
            "postal_code": "195518925",
            "telephone_number": "610-413-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HOBART AVE STE C",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196102028",
            "telephone_number": "610-371-8035",
            "fax_number": "610-685-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY-HAMM",
        "first_name": "MARY",
        "middle_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-04",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW139028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ivan Bub, MD
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• Andrea J Bumbulsky
• Jason Thomas Bundy, M.D.
• Ioulia Y Bunker, DDS

• Social Worker in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Social Worker in Pennsylvania

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