Mary Buntin, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000875 Issued in VA

Practice address

4906 Cutshaw Ave Ste 101
Richmond, VA 23230-3630

Phone

(804) 216-6406

NPI assigned

May 8, 2022

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

Enrolled in VA, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rhodium Care Group Inc

  • Psychologist
  • Lakewood, NJ
  • NPI 1235853698

  DC, VA

  Medicare reassignment NPD
• Global and Alternative Solutions LLC

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1336328582
  NPD (past)

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

{
    "created_epoch": "1651968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651968000000",
    "number": "1841936358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2924 MAPLEWOOD RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285028",
            "telephone_number": "804-216-6406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 CUTSHAW AVE STE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303630",
            "telephone_number": "804-216-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUNTIN",
        "first_name": "MARY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-08",
        "last_updated": "2022-05-08",
        "certification_date": "2022-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Graham M Bundy, M.D.
• Theresa Bundy
• Walter Edward Bundy III, M.D.
• Maeve C Buni
• Susan J Buniva, MSW, LCSW
• James Blair Bunting Jr., MD
• Cassandra Marie Burba, PA-C
• Karen A Burch, MD
• Sandra Kay Burcham, LCSW
• Sarah Elizabeth Burchett, PA-C

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.