Individual provider Active NPI

Debbie L Buffaloe, LICSW,PIP

  • Clinical Social Worker
  • Florence, AL
National Provider Identifier
1417416983
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3920C Issued in AL
Practice address
203 Plum St
Florence, AL 35630-4878
Phone
(256) 768-1550
NPI assigned
Mar 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 3920C AL Primary

Addresses

Primary practice location

203 Plum St
Florence, AL 35630-4878

Mailing address

203 Plum St
Florence, AL 35630-4878
Phone (256) 768-1550

Other identifiers 1

IdentifierTypeStateIssuer
3920COtherALSOCIAL WORK LICENSURE

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
3920CALMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1552521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1417416983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 PLUM ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304878",
            "telephone_number": "256-768-1550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 PLUM ST",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304878",
            "telephone_number": "256-768-1550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUFFALOE",
        "first_name": "DEBBIE",
        "middle_name": "L",
        "credential": "LICSW,PIP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-14",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "3920C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSURE",
            "identifier": "3920C",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2019; 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.