Active NPI
Jonathan J. Buchler, MSW, LCSW
- Clinical Social Worker
- Shorewood, WI
National Provider Identifier
1821219676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7025-123
- Practice address
- Lakeshore Clinic Suite 502
3970 N. Oakland Avenue
Shorewood, WI 53211 - Phone
- (414) 241-6434
- Fax
- (414) 332-8596
- NPI assigned
- May 1, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 7025-123 | WI | Primary |
Addresses
Primary practice location
Lakeshore Clinic Suite 502
3970 N. Oakland Avenue
Shorewood, WI 53211
Mailing address
Lakeshore Clinic Suite 502
3970 N. Oakland Avenue
Shorewood, WI 53211
Phone (414) 241-6434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 40963700 | Medicaid | WI |
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 |
|---|---|---|---|
| 7025-123 | WI | MD | Clinical Social Worker |
| 7025 | WI | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821219676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "LAKESHORE CLINIC SUITE 502",
"address_2": "3970 N. OAKLAND AVENUE",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "53211",
"telephone_number": "414-241-6434",
"fax_number": "414-332-8596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "LAKESHORE CLINIC SUITE 502",
"address_2": "3970 N. OAKLAND AVENUE",
"city": "SHOREWOOD",
"state": "WI",
"postal_code": "53211",
"telephone_number": "414-241-6434",
"fax_number": "414-332-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUCHLER",
"first_name": "JONATHAN",
"middle_name": "J.",
"name_prefix": "Mr.",
"credential": "MSW, LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7025-123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40963700",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shorewood, WI
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.