Individual provider Active NPI

Wendy Eileen Buck, LCSW-C

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1447345442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04826 Issued in MD
Practice address
110 E Pennsylvania Ave
Towson, MD 21286-5118
Phone
(410) 583-2222
Fax
(410) 583-2377
NPI assigned
Oct 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 04826 MD Primary

Addresses

Primary practice location

110 E Pennsylvania Ave
Towson, MD 21286-5118

Mailing address

9619 Harding Ave
Parkville, MD 21234-2633
Phone (410) 665-8271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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

Enrollment IDStateProvider typePAC IDDetails
I20120131000638 MD Practitioner - Clinical Social Worker 0345407599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charito Quintero-Howard Child and Adult PsychiatryGroup PAC ID 6901125368, 3 clinicians

Practice addresses (Care Compare)

The Ridgely Condominiums 205 E Joppa
Suite 106
Towson, MD 21286-3203
Phone (410) 337-0007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04826MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fishel, Watson and Lemaire, P.a. Clinical PastSince Jan 26, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447345442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9619 HARDING AVE",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212342633",
            "telephone_number": "410-665-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E PENNSYLVANIA AVE",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865118",
            "telephone_number": "410-583-2222",
            "fax_number": "410-583-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "WENDY",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.