Individual provider Active NPI

Carrie A Buckner, LCSW

  • Clinical Social Worker
  • Pittsburgh, PA
National Provider Identifier
1972013472
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW022211 Issued in PA
Practice address
1201 S Braddock Ave Ste 2
Pittsburgh, PA 15218-1275
Phone
(412) 419-1491
NPI assigned
Oct 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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 CW022211 PA Primary

Addresses

Primary practice location

1201 S Braddock Ave Ste 2
Pittsburgh, PA 15218-1275

Mailing address

1201 S Braddock Ave Ste 2
Pittsburgh, PA 15218-1275
Phone (412) 419-1491

Other practice location 1

6324 Marchand St
Pittsburgh, PA 15206-4312
Phone (412) 661-1239 ext. 219

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW022211PAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1972013472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S BRADDOCK AVE STE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181275",
            "telephone_number": "412-419-1491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S BRADDOCK AVE STE 2",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152181275",
            "telephone_number": "412-419-1491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6324 Marchand St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152064312",
            "country_code": "US",
            "telephone_number": "412-661-1239 x219",
            "fax_number": "412-661-1304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCKNER",
        "first_name": "CARRIE",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-10",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.