Jessica Buckler, LICSW
Individual provider Active NPI Clinical Social Worker · Hyannis, MA
NPI 1972099273 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1972099273
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 121025 (MA)
- Practice address
- 460 W Main St
Hyannis, MA 02601-3855 - Phone
- (508) 790-3660
- NPI assigned
- Jul 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cape Cod Healthcare, Inc.
Practice addresses (Care Compare)
460 W Main St
Hyannis, MA 02601-3855
Phone (508) 790-3300
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250416001615 | MA | Practitioner - Clinical Social Worker | 0547785164 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121025 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cape Cod Healthcare Inc. | Current |
Accepting new patients |
Locations
460 W Main St
Hyannis, MA 02601
Phone (508) 790-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 121025 | MA | Yes |
Addresses
Primary practice location
460 W Main St
Hyannis, MA 02601-3855
Mailing address
460 W Main St
Hyannis, MA 02601-3855
Other providers in Hyannis, MA
- Majturi Brown
- Michaela Eliza Brown
- Renie H Bruun
- Marcelo Bruycker Dasilva
- Brenda Buck
- Bonnie M Bullard
- Amy Louise Burke
- Celeste Mary Burke
- Margaret Burke
- Mary Bernadette Burkinshaw
All providers in Hyannis, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.