Active NPI
Lakia Nicole Buchanan, LCSWA
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1770842122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P012944
- Practice address
- 412 Walsenburg Dr
Durham, NC 27712-1369 - Phone
- (347) 513-4332
- NPI assigned
- May 4, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 25458 | NC | |
| Clinical Social Worker | 1041C0700X | P012944 | NC | Primary |
Addresses
Primary practice location
412 Walsenburg Dr
Durham, NC 27712-1369
Mailing address
412 Walsenburg Dr
Durham, NC 27712-1369
Phone (919) 864-8165
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25458 | NC | MD | Addiction (Substance Use Disorder) Counselor |
| P012944 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1770842122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 WALSENBURG DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277121369",
"telephone_number": "919-864-8165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 WALSENBURG DR",
"city": "DURHAM",
"state": "NC",
"postal_code": "277121369",
"telephone_number": "347-513-4332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHANAN",
"first_name": "LAKIA",
"middle_name": "NICOLE",
"credential": "LCSWA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-04",
"last_updated": "2022-02-08",
"certification_date": "2021-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "25458",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P012944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.