Individual provider Active NPI

Cheryl J Buddington, LCSW

  • Clinical Social Worker
  • Englewood, CO
National Provider Identifier
1700023785
Registry record updated Mar 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
983003 Issued in CO
Practice address
155 Inverness Dr W
Suite 200
Englewood, CO 80112-5095
Phone
(303) 793-9634
Fax
(303) 889-0838
NPI assigned
Jan 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 983003 CO Primary

Addresses

Primary practice location

155 Inverness Dr W
Suite 200
Englewood, CO 80112-5095

Mailing address

1070 E Bates Pkwy
Englewood, CO 80113-1714
Phone (303) 871-9889

Other identifiers 1

IdentifierTypeStateIssuer
303773OtherCOPTANCO 303773

Other names 1

  • Cheryl Boucher Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
983003COMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1231804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238371200000",
    "number": "1700023785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 E BATES PKWY",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801131714",
            "telephone_number": "303-871-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 INVERNESS DR W",
            "address_2": "SUITE 200",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801125095",
            "telephone_number": "303-793-9634",
            "fax_number": "303-889-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUDDINGTON",
        "first_name": "CHERYL",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-13",
        "last_updated": "2009-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "983003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTANCO 303773",
            "identifier": "303773",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "BOUCHER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Englewood, CO

Sources for this page

Verify at the official NPI Registry.