Michael E. Buck, MA, LMSW, CAC II

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801057221 Issued in MI

Practice address

150 Enterprise Dr
Vassar, MI 48768-9584

Phone

(989) 551-8617

NPI assigned

Jan 7, 2008

Last updated

Jan 7, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1972788198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ENTERPRISE DR",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487689584",
            "telephone_number": "989-551-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ENTERPRISE DR",
            "city": "VASSAR",
            "state": "MI",
            "postal_code": "487689584",
            "telephone_number": "989-551-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCK",
        "first_name": "MICHAEL",
        "middle_name": "E.",
        "credential": "MA, LMSW, CAC II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "2-00459",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801057221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Erwin Blossom, D.C.
• Sally Blossom, D.C.
• Ann Bremer
• Roy L Brewer, BA, CAC-1
• Austin Brown
• Sarah Paula-Marie Buffman, CTRS, CTRI
• Christopher Robert Charkowske, BA
• Kenneth W Cook, B.S., CAC-1
• Daniel E Blossom, P C
• Dr Robert D Grimshaw DO PLLC

• Clinical Social Worker in Vassar, MI
• Providers in Vassar, 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 Jan 7, 2008; 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.