Karen M. Buckley LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW00005091 Issued in WA

Legal business name

KAREN M. BUCKLEY LLC

Practice address

2608 Pacific Ave SE Ste C
Olympia, WA 98501-2085

Phone

(360) 556-0201

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Karen M Buckley, LICSW, ACSW, OSW-CNPI 1639367428

Title

Owner/Social Worker

Phone

(360) 556-0201

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen M Buckley, MSW LICSW ACSW OSWC

  • Clinical Social Worker
  • Olympia, WA
  • NPI 1639367428
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1790164291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 PACIFIC AVE SE STE C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012085",
            "telephone_number": "360-556-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 PACIFIC AVE SE STE C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985012085",
            "telephone_number": "360-556-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN M. BUCKLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/SOCIAL WORKER",
        "authorized_official_telephone_number": "360-556-0201",
        "authorized_official_credential": "LICSW, ACSW, OSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW00005091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meenakshi Kannappan
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• Kara Meyer Psychology Services LLC
• Chelsea Bean Karchon, FNP-C
• Karen Feeley D C
• Evelyn Karhnet
• Vivien Wanjiru Kariuki
• Katie Karkowski, PHARM.D.
• Helen W Karl
• Helen Karlson, PT

• Clinical Social Worker in Olympia, WA
• Providers in Olympia, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.