Teresa Darlene Buchanan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

52536 Issued in TX

Practice address

433 Kitty Hawk Rd
Suite 211
Universal City, TX 78148-3357

Phone

(210) 508-1370

NPI assigned

Mar 25, 2017

Last updated

Mar 25, 2017By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490400000000",
    "number": "1497286983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2492 JANE ADDAMS DR",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781541163",
            "telephone_number": "210-508-1370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 KITTY HAWK RD",
            "address_2": "SUITE 211",
            "city": "UNIVERSAL CITY",
            "state": "TX",
            "postal_code": "781483357",
            "telephone_number": "210-508-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANAN",
        "first_name": "TERESA",
        "middle_name": "DARLENE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-25",
        "last_updated": "2017-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "52536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Ann Born
• Randall S Braddock, MA, LPC
• Alyxandra Breuer, RBT
• Imani Jaelle Brown
• Mikayla Catherine Brownlow
• Steven Jack Burch, RPH
• Rachel Busby
• Brooke Bush
• Ciera B Bustillo, RBT
• Shauntora Butler-Thomas

• Clinical Social Worker in Universal City, TX
• Providers in Universal City, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2017; 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.