Active NPI
George Buckner, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1720027857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R024137-1
- Practice address
- 145 E 27TH St
Suite 10K
New York, NY 10016-9017 - Phone
- (212) 686-4381
- Fax
- (516) 747-4783
- NPI assigned
- Jun 5, 2006
- Last updated
- Oct 7, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | R024137-1 | NY | Primary |
Addresses
Primary practice location
145 E 27TH St
Suite 10K
New York, NY 10016-9017
Mailing address
401 Furnace Dock Rd
Cortlandt Manor, NY 10567-6603
Phone (914) 736-9822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R024137-1 | Other | NY | LCSW |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- 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 |
|---|---|---|---|---|
| I20111201000276 | NY | Practitioner - Clinical Social Worker | 9537333596 | Practice locations: Croton on Hudson, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1392 Albany Post Rd
Croton on Hudson, NY 10520-1559
Phone (516) 739-3862
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R024137-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317945600000",
"number": "1720027857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 FURNACE DOCK RD",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105676603",
"telephone_number": "914-736-9822",
"fax_number": "516-747-4783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 E 27TH ST",
"address_2": "SUITE 10K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169017",
"telephone_number": "212-686-4381",
"fax_number": "516-747-4783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCKNER",
"first_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2011-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R024137-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LCSW",
"identifier": "R024137-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.