Active NPI
Denise Buckingham
- Social Worker
- Randolph, MA
National Provider Identifier
1689077638
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 75 N Main St Ste 1087
Randolph, MA 02368-4605 - Phone
- (413) 650-2230
- Fax
- (413) 650-2231
- NPI assigned
- Oct 6, 2014
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
75 N Main St Ste 1087
Randolph, MA 02368-4605
Mailing address
75 N Main St Ste 1087
Randolph, MA 02368-4605
Phone (413) 650-2230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 12, 2024 through Aug 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780012800000",
"number": "1689077638",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 N MAIN ST STE 1087",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684605",
"telephone_number": "413-650-2230",
"fax_number": "413-650-2231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 N MAIN ST STE 1087",
"city": "RANDOLPH",
"state": "MA",
"postal_code": "023684605",
"telephone_number": "413-650-2230",
"fax_number": "413-650-2231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKINGHAM",
"first_name": "DENISE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-06",
"last_updated": "2026-05-29",
"certification_date": "2026-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Randolph, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.