Active NPI
James Andrew Buffington Jr., LCSW
- Clinical Social Worker
- Grass Valley, CA
National Provider Identifier
1790739803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS 29400
- Practice address
- 2036 Nevada City Hwy # 237
Grass Valley, CA 95945-7700 - Phone
- (530) 477-7016
- NPI assigned
- May 22, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS 29400 | CA | Primary |
| Clinical Social Worker | 1041C0700X | CW008896L | PA |
Addresses
Primary practice location
2036 Nevada City Hwy # 237
Grass Valley, CA 95945-7700
Mailing address
2036 Nevada City Hwy # 237
Grass Valley, CA 95945-7700
Phone (530) 477-7016
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS 29400 | CA | MD | Clinical Social Worker |
| CW008896L | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GKSW Crystal Group Associates | Clinical | Past | Accepting new patients |
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.
-
- Clinical Psychologist
- Wyndmoor, PA
- NPI 1568418721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1790739803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2036 NEVADA CITY HWY # 237",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959457700",
"telephone_number": "530-477-7016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2036 NEVADA CITY HWY # 237",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959457700",
"telephone_number": "530-477-7016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUFFINGTON",
"first_name": "JAMES",
"middle_name": "ANDREW",
"name_suffix": "Jr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS 29400",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW008896L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.