John Joseph Bucholtz Jr., LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC3000846 Issued in DC

Practice address

3054 Laurel St
San Diego, CA 92104-5035

Phone

(202) 253-0767

NPI assigned

Jun 19, 2013

Last updated

Jun 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1841639218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921045035",
            "telephone_number": "202-253-0767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3054 LAUREL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921045035",
            "telephone_number": "202-253-0767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHOLTZ",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC3000846",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "51731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Richard Bucher, LCSW
• Rhiannon Buchholz, MD
• Wendy Marilyn Buchi, MD
• Laura Buchli
• Ryan Buchmann, MA, MFT, CADC-II
• Leah Buchsbaum
• Richard M. Buchta, M.D.
• Brittany Anne Buchwitz, M.A.
• Alma Bucio Rosales
• Phyllis Buck-Brumfield

• Clinical Social Worker in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.