Stacy Lyn Buckingham, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801094806 Issued in MI

Practice address

135 E Bennett St Ste 21
Saline, MI 48176

Phone

(810) 941-9195

NPI assigned

Aug 29, 2012

Sex

Female

Sole proprietor

No

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": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564963200000",
    "number": "1922357540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7194 PARTRIDGE WAY",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481769298",
            "telephone_number": "810-941-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 E BENNETT ST STE 21",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "48176",
            "telephone_number": "810-941-9195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24401 Capital Blvd",
            "address_purpose": "LOCATION",
            "city": "Clinton Township",
            "state": "MI",
            "postal_code": "480361343",
            "country_code": "US",
            "telephone_number": "586-783-2950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKINGHAM",
        "first_name": "STACY",
        "middle_name": "LYN",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2019-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridget Gottlieb, LMSW, L.L.C.
• Theresa Brosius
• Megan Kathleen Brown, MPH, RD
• Stephen Richard Brown, PT,SCS,ATC
• Barbara J Browne, CRN
• Jonathan D Buckman, MSW
• Jennifer Burke, JD, LMSW
• Hanna Taylor Burnham, MS
• Michael H. Burnstein, M.D.
• Buschs Inc

• Clinical Social Worker in Saline, MI
• Providers in Saline, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.