Loren Sandy Buckner, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW1635 Issued in FL

Practice address

2805 W Busch Blvd
Suite 113
Tampa, FL 33618-4560

Phone

(813) 915-0076

Fax

(813) 933-3713

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790791234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 W BUSCH BLVD",
            "address_2": "SUITE 113",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184560",
            "telephone_number": "813-915-0076",
            "fax_number": "813-933-3713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 W BUSCH BLVD",
            "address_2": "SUITE 113",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336184560",
            "telephone_number": "813-915-0076",
            "fax_number": "813-933-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "LOREN",
        "middle_name": "SANDY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW1635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kinley Heyns Buckley, DO
• Morgan Dawn Buckley
• Quartez Buckley
• Hannah Buckman
• Jana Melissa Buckner, ARNP
• Lana Buda
• Fisima B Budema
• Wemi Helga Budema, LPN
• Jayashree Budhiraja, APRN
• Taraya Budhram

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.