Individual provider Active NPI

Candace Lynn Buckley, LCSW

  • Clinical Social Worker
  • Waukesha, WI
National Provider Identifier
1871998070
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7921 Issued in WI
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

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100041354MedicaidWI

Other names 1

  • Candace Lynn Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, WI2 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

Enrollment IDStateProvider typePAC IDDetails
I20040903000758 CT Practitioner - Clinical Social Worker 1355317090 Reassigns benefits to 1 organization
I20160628002336 WI Practitioner - Clinical Social Worker 1355317090 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7921WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services, PC Clinical CurrentSince Aug 2, 2023 Accepting new patients
Talkspace Provider Network PA CurrentSince May 8, 2024 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.

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

Verify at the official NPI Registry.