Active NPI
Candace Lynn Buckley, LCSW
- Clinical Social Worker
- Waukesha, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 7921
- Practice address
- 2046 Cliff Alex CT S Apt 3
Waukesha, WI 53189-8100 - Phone
- (262) 501-0770
- NPI assigned
- Oct 30, 2014
- Sex
- Female
- 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 | 7921 | WI | Primary |
Addresses
Primary practice location
2046 Cliff Alex CT S Apt 3
Waukesha, WI 53189-8100
Mailing address
2046 Cliff Alex CT S Apt 3
Waukesha, WI 53189-8100
Phone (262) 501-0770
Other practice location 1
N7430 County Road C
Eldorado, WI 54932-9601
Phone (262) 501-0770
Other practice location 2
4801 Tocora Ln
Madison, WI 53711-1222
Phone (262) 501-0770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100041354 | Medicaid | WI |
Other names 1
- Candace Lynn Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7921 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellqor Psychological Services, PC | Clinical | Current | Accepting new patients |
| Talkspace Provider Network PA | Current | Accepting new patients | |
| Glassman & Stanik Consulting Psychologists, LLC | Past | Accepting new patients | |
| Catholic Charities of Fairfield County, Inc. | Past | Accepting new patients | |
| Catholic Charities of Fairfield County, Inc. | Past | Accepting new patients |
Locations
135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440
2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735
1105 Davidson Rd
Brookfield, WI 53045
Phone (216) 772-7030
289 Saint Joseph St
Green Bay, WI 54301
Phone (920) 435-2729
345 W Washington Ave
Ste 301
Madison, WI 53703
Phone (312) 999-0201
3800 N 92nd St
Milwaukee, WI 53222
Phone (414) 463-7570
111 Owen Rd
Monona, WI 53716
Phone (608) 441-9990
8772 S Mayhew Dr
Oak Creek, WI 53154
Phone (262) 220-3574
7800 N Green Bay Rd
River Hills, WI 53217
Phone (414) 255-1523
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1639814049
CT, WI
-
- Clinical Neuropsychologist
- Milwaukee, WI
- NPI 1720105877
-
- Adolescent and Children Mental Health Clinic/Center
- Stamford, CT
- NPI 1831314269
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Norwalk, CT
- NPI 1972727394
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1414627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1871998070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2046 CLIFF ALEX CT S APT 3",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531898100",
"telephone_number": "262-501-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2046 CLIFF ALEX CT S APT 3",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531898100",
"telephone_number": "262-501-0770"
}
],
"practiceLocations": [
{
"address_1": "N7430 County Road C",
"address_purpose": "LOCATION",
"city": "Eldorado",
"state": "WI",
"postal_code": "549329601",
"country_code": "US",
"telephone_number": "262-501-0770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4801 Tocora Ln",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537111222",
"country_code": "US",
"telephone_number": "262-501-0770",
"fax_number": "888-783-3165",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCKLEY",
"first_name": "CANDACE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-30",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "7921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100041354",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CANDACE",
"last_name": "WILLIAMS",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Waukesha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.