Stephanie Buckley Licsw LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

STEPHANIE BUCKLEY LICSW LLC

Practice address

20 Spring Hill Rd
East Sandwich, MA 02537-1068

Phone

(774) 313-0217

NPI assigned

Sep 8, 2022

Last updated

Sep 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stephanie BuckleyNPI 1548744824

Title

Owner

Phone

(774) 313-0217

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Buckley, L.I.C.S.W.

  • Clinical Social Worker
  • East Sandwich, MA
  • NPI 1548744824
  Medicare reassignment NPD Authorized official
• Majturi Brown, LICSW

  • Social Worker
  • Hyannis, MA
  • NPI 1376594135
  NPD (past)

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1336860386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 403",
            "city": "SANDWICH",
            "state": "MA",
            "postal_code": "025630403",
            "telephone_number": "774-313-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SPRING HILL RD",
            "city": "EAST SANDWICH",
            "state": "MA",
            "postal_code": "025371068",
            "telephone_number": "774-313-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE BUCKLEY LICSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "774-313-0217"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Bay Mental Health
• Megan Elizabeth Southern
• Thomas Sprague
• Spring Hill Behavioral Education Services LLC
• Elizabeth Steele, LCSW
• Alison Sullivan
• Jameson Parker Sylvia, DPT
• Thomas H Reilly Jr DDS PC
• Ann Marie S Thomas, MD
• Jenny Lynn Thomas

• Counselor in East Sandwich, MA
• Providers in East Sandwich, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.