Danielle Mae Buffington, LCSW
Individual provider Active NPI Clinical Social Worker · Mystic, CT
NPI 1528047966 · NPPES record last updated Apr 1, 2025
Key facts
- NPI
- 1528047966
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 15079 (CT)
- Practice address
- 12 Roosevelt Ave Ste 5a
Mystic, CT 06355-2832 - Phone
- (503) 440-3088
- NPI assigned
- Jan 13, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15079 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blackbird Rising Mental Health LLC | Clinical | Past |
Accepting new patients |
| Uscg Airsta Savannah Medical Clinic | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15079 | CT | Yes |
Addresses
Primary practice location
12 Roosevelt Ave Ste 5a
Mystic, CT 06355-2832
Mailing address
320 Indigo St
Mystic, CT 06355-1326
Phone (503) 440-3088
Other providers in Mystic, CT
- Daniel Stubbs Brown
- Meghan B Brunnock
- Linda M Brustolon
- Kim Michelle Bucko
- Leah Bueneman
- Stephanie Buske
- Tess Marie Cagenello
- Etny Raul Candelario
- Edmond Francis Cardinal Jr.
- Cdmi LLC
All providers in Mystic, CT · Clinical Social Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.