Active NPI
Sharon C Buddington, LCSW
- Clinical Social Worker
- Suwanee, GA
National Provider Identifier
1457535064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW003357
- Practice address
- 4485 Tench Rd
Suite 840
Suwanee, GA 30024-6741 - Phone
- (678) 436-0056
- Fax
- (770) 945-7214
- NPI assigned
- Dec 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW003357 | GA | Primary |
Addresses
Primary practice location
4485 Tench Rd
Suite 840
Suwanee, GA 30024-6741
Mailing address
4485 Tench Rd
Suite 840
Suwanee, GA 30024-6741
Phone (678) 436-0056
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW003357 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buddington Psychology Clinic, PC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1457535064",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4485 TENCH RD",
"address_2": "SUITE 840",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246741",
"telephone_number": "678-436-0056",
"fax_number": "770-945-7214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4485 TENCH RD",
"address_2": "SUITE 840",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300246741",
"telephone_number": "678-436-0056",
"fax_number": "770-945-7214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUDDINGTON",
"first_name": "SHARON",
"middle_name": "C",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-19",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW003357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.