Joan D Buckley-White, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

047111 Issued in NY

Practice address

819 S Salina St
Syracuse, NY 13202-3536

Phone

(315) 476-7921

Fax

(315) 475-1448

NPI assigned

Apr 20, 2006

Last updated

Apr 5, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Joan D. Francis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459814400000",
    "number": "1801851779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S. SALINA STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-476-7921",
            "fax_number": "315-475-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023536",
            "telephone_number": "315-476-7921",
            "fax_number": "315-475-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY-WHITE",
        "first_name": "JOAN",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2016-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "047111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04317520",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "FRANCIS",
            "middle_name": "D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barbara Buckingham, LPN
• Darcy Lee Buckingham
• Mia Nichole Buckingham
• Scott C Buckingham, MD
• Tracy Buckingham
• Audra Ann Buckley, PTA
• Breanna Kate Finneron Buckley, LCSW
• Danielle Buckley, LMSW
• Melissa Bucklin, PA
• Anna Buckman, NP

• Clinical Social Worker in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.