Nicole Buckley, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

094077 Issued in NY

Practice address

150 Hope St Apt 18
Stamford, CT 06906-2032

Phone

(914) 610-5970

NPI assigned

Jun 16, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1477449486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HOPE ST APT 18",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069062032",
            "telephone_number": "914-610-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HOPE ST APT 18",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069062032",
            "telephone_number": "914-610-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "NICOLE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "14986",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "094077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Reed Brundage, PH.D.
• Monica L. Bruning, LCSW
• Martine Bruno, LMSW
• Andreas Bub, MD
• Sarah E Buckingham, MD
• Shawneen Buckley, SLP
• Haydee Liliana Bujman de Lancman, MD
• Sherman M Bull, MD
• Donna Janet Bunte, L.AC.
• Nicolle M Burgwardt, M.D.

• Clinical Social Worker in Stamford, CT
• Providers in Stamford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.