Active NPI
Steven Anthony Buck, LICSW
- Clinical Social Worker
- Cambridge, MA
National Provider Identifier
1811066855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 107821
- Practice address
- 1493 Cambridge St
Cambridge Health Alliance
Cambridge, MA 02139-1047 - Phone
- (617) 665-1807
- Fax
- (617) 665-1020
- NPI assigned
- Nov 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107821 | MA | Primary |
Addresses
Primary practice location
1493 Cambridge St
Cambridge Health Alliance
Cambridge, MA 02139-1047
Mailing address
1493 Cambridge St.
Cambridge Health Alliance
Cambridge, MA 02139
Phone (617) 665-1807
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0300010 | Other | MA | MBHP |
| 500504 | Other | MA | TUFTS |
| 984033 | Other | MA | NETWORK HEALTH |
| 1211951 | Medicaid | MA | |
| LICSW | Other | MA | DISCIPLINE |
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 |
|---|---|---|---|
| 107821 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811066855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1493 CAMBRIDGE ST.",
"address_2": "CAMBRIDGE HEALTH ALLIANCE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02139",
"telephone_number": "617-665-1807",
"fax_number": "617-665-1020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1493 CAMBRIDGE ST",
"address_2": "CAMBRIDGE HEALTH ALLIANCE",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "021391047",
"telephone_number": "617-665-1807",
"fax_number": "617-665-1020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCK",
"first_name": "STEVEN",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "107821",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MBHP",
"identifier": "0300010",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "500504",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "984033",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1211951",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DISCIPLINE",
"identifier": "LICSW",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- 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.