Individual provider Active NPI

Rachel Eve Buckner, LICSW

  • Clinical Social Worker
  • Burlington, VT
National Provider Identifier
1720757990
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089.0135725 Issued in VT
Practice address
110 Sunset Dr
Burlington, VT 05408-1912
Phone
(612) 718-8018
NPI assigned
Sep 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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 089.0135725 VT Primary

Addresses

Primary practice location

110 Sunset Dr
Burlington, VT 05408-1912

Mailing address

110 Sunset Dr
Burlington, VT 05408-1912
Phone (612) 718-8018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250812001264 VT Practitioner - Clinical Social Worker 9638677388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

444 S Union St
Burlington, VT 05401-4800
Phone (612) 718-8018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089.0135725VTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rachel Buckner Counseling LLC Clinical CurrentSince Jul 5, 2025 Accepting new patients

Locations

444 S Union St
Burlington, VT 05401
Phone (651) 538-6402

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.

NPI Registry JSON

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1720757990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SUNSET DR",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054081912",
            "telephone_number": "612-718-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SUNSET DR",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054081912",
            "telephone_number": "612-718-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "RACHEL",
        "middle_name": "EVE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-10",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0135725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.