Bridgett Buckery, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R052487-1 Issued in NY

Practice address

190-11 119TH Avenue
Saint Albans, NY 11412-3324

Phone

(718) 341-8751

Fax

(718) 341-8751

NPI assigned

Aug 19, 2006

Last updated

Jan 14, 2011By 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

Other names 1

• Mrs. Bridgett Buckery-Smith Professional name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Buckery-Smith Consulting Services,LLC

  • Social Worker
  • Saint Albans, NY
  • NPI 1821393398
  NPD Authorized official

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294963200000",
    "number": "1407961808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19011 119TH AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123324",
            "telephone_number": "718-341-8751",
            "fax_number": "718-341-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190-11 119TH AVENUE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114123324",
            "telephone_number": "718-341-8751",
            "fax_number": "718-341-8751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKERY",
        "first_name": "BRIDGETT",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R052487-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRIDGETT",
            "last_name": "BUCKERY-SMITH",
            "prefix": "MRS.",
            "credential": "LCSW-R",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Belleissia Brown
• Gary Brown
• Tamia Brown
• Keisha Kadesha Bryant, MD
• Buckery-Smith Consulting Services,LLC
• Natasha Budd
• Ajani Burgess
• Janea Bussey, R.N.
• Butterflies by Blaq Inc. (Butterflies BBI)
• Julie-Ann Cameron, LPN

• Social Worker in Saint Albans, NY
• Providers in Saint Albans, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.