Gwendolyn L Bueckendorf, MSW LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0890000893 Issued in VT

Practice address

39 Church St
Hardwick, VT 05843

Phone

(802) 730-3131

NPI assigned

Sep 12, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1891899472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410S ALBANY RD",
            "city": "CRAFTSBURY",
            "state": "VT",
            "postal_code": "058269558",
            "telephone_number": "802-730-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 CHURCH ST",
            "city": "HARDWICK",
            "state": "VT",
            "postal_code": "05843",
            "telephone_number": "802-730-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUECKENDORF",
        "first_name": "GWENDOLYN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "MSW LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "0890000893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Kathryn Barber, MA, LCMHC
• Tamara Hammitt Bisbee, M.A.
• Melissa Boisvert, RDH
• Cherise Renee Boutin, MA, LCMHC
• Brendan N Buckley, MD
• Randolph James Bulpin, M.A.
• Maria T Calderwood, FNP
• Jessica Claire Cullity, NP
• Anthony Depaul, M.A.
• Jennifer L Driver, LICSW

• Clinical Social Worker in Hardwick, VT
• Providers in Hardwick, VT by specialty
• Clinical Social Worker in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.