Courtney Elaine Buck, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007141 Issued in GA

Practice address

1734 Almond Tree PL Apt B
Valdosta, GA 31602-7058

Phone

(478) 412-1639

NPI assigned

Jun 5, 2019

Last updated

May 2, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Atlanta South Nephrology,PC

  dba Southeast Kidney Associates

  • Legal Medicine
  • East Point, GA
  • NPI 1922145788

  Multi-Specialty

  Medicare reassignment NPD
• Personal Recovery Network LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Stockbridge, GA
  • NPI 1881990869

  Multi-Specialty

  Medicare reassignment NPD
• Vitae Health Medical Georgia LLC

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1184320574

  Clinical

  Medicare reassignment NPD

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1538727342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1734 ALMOND TREE PL APT B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316027058",
            "telephone_number": "478-412-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1734 ALMOND TREE PL APT B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316027058",
            "telephone_number": "478-412-1639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1734 Almond Tree Pl Apt B",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316027058",
            "country_code": "US",
            "telephone_number": "478-412-1639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "COURTNEY",
        "middle_name": "ELAINE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007141",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "GA",
            "license": "MSW0077001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Brunetto, FNP
• Chiquita Bryant, LPC
• Kierra Bryant
• Sarah Elizabeth Bryant, MED, CCC-SLP
• John Thomas Buchanan, MD
• Ashley Buckhannon
• Katherine Buescher, RPH
• Kala Jo Bugg, AGNP
• Edlene Buie
• Kassidy Bunte, MED CCC SLP

• Clinical Social Worker in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.