Active NPI
Linda Barbara Bucklaew, LCSW, CEAP
- Clinical Social Worker
- Yorktown, VA
National Provider Identifier
1568601649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904005777
- Practice address
- 4034 George Washington Mem Hwy
Yorktown, VA 23692-2620 - Phone
- (757) 598-2244
- NPI assigned
- Feb 12, 2009
- 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 | 0904005777 | VA | Primary |
Addresses
Primary practice location
4034 George Washington Mem Hwy
Yorktown, VA 23692-2620
Mailing address
2202 Executive Dr Ste C
Hampton, VA 23666-6604
Phone (757) 827-7707
Other names 1
- Linda Barbara Rutkowski
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201207000189 | VA | Practitioner - Clinical Social Worker | 5698186187 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Genesis Counseling Center, Inc.
Practice addresses (Care Compare)
2202 Executive Dr
Suite C
Hampton, VA 23666-6604
Phone (757) 827-7707
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Counseling Center, Inc. | Clinical | Current | Accepting new patients |
| Maryview Hospital | Past | Accepting new patients | |
| Bon Secours Eap | Past | Accepting new patients |
Locations
2202 Executive Dr
Ste C
Hampton, VA 23666
Phone (757) 838-5055
4034 George Washington Mem Hwy
Yorktown, VA 23692
Phone (757) 598-2244
Organizations & group practices 3
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.
-
- Community/Behavioral Health Agency
- Norfolk, VA
- NPI 1972798858
-
- Counselor
- Norfolk, VA
- NPI 1003163171
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743984000000",
"number": "1568601649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2202 EXECUTIVE DR STE C",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236666604",
"telephone_number": "757-827-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4034 GEORGE WASHINGTON MEM HWY",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "236922620",
"telephone_number": "757-598-2244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKLAEW",
"first_name": "LINDA",
"middle_name": "BARBARA",
"credential": "LCSW, CEAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-12",
"last_updated": "2025-04-07",
"certification_date": "2025-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904005777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LINDA",
"last_name": "RUTKOWSKI",
"middle_name": "BARBARA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.