Active NPI
Taylor A Bufton, APSW
- Clinical Social Worker
- Waukesha, WI
National Provider Identifier
1619586997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 11019-123
- Practice address
- 717 N East Ave
Waukesha, WI 53186-4806 - Phone
- (262) 547-2463
- Fax
- (262) 547-8002
- NPI assigned
- Jul 23, 2020
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 131907-121 | WI | |
| Social Worker | 104100000X | 11019-123 | WI | |
| Clinical Social Worker | 1041C0700X | 11019-123 | WI | Primary |
Addresses
Primary practice location
717 N East Ave
Waukesha, WI 53186-4806
Mailing address
800 Wisconsin Ave
Racine, WI 53403-1526
Phone (262) 637-8888
Other practice location 1
503 Wisconsin Ave
Sheboygan, WI 53081-4147
Phone (920) 458-5726
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11019-123 | Other | WI | LCSW |
| 131907-121 | Other | WI | APSW-IT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131907-121 | WI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Charities of the Archdiocese of Milwaukee Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Waukesha, WI
- NPI 1053394841
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1619586997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 WISCONSIN AVE",
"city": "RACINE",
"state": "WI",
"postal_code": "534031526",
"telephone_number": "262-637-8888",
"fax_number": "262-637-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 N EAST AVE",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531864806",
"telephone_number": "262-547-2463",
"fax_number": "262-547-8002"
}
],
"practiceLocations": [
{
"address_1": "503 Wisconsin Ave",
"address_purpose": "LOCATION",
"city": "Sheboygan",
"state": "WI",
"postal_code": "530814147",
"country_code": "US",
"telephone_number": "920-458-5726",
"fax_number": "920-458-5826",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUFTON",
"first_name": "TAYLOR",
"middle_name": "A",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2022-11-22",
"certification_date": "2022-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "131907-121",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "11019-123",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "11019-123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "11019-123",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APSW-IT",
"identifier": "131907-121",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.