Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JILL MARIE BUCKINGHAM, DTR, LICSW
ActiveJILL MARIE BUCKINGHAM, DTR, LICSW is a Clinical Social Worker healthcare provider located in SHOREVIEW, Minnesota. NPI 1235295148 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · SHOREVIEW, MN
Registration Details
- NPI Number
- 1235295148
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 28, 2006 (19.585856610503 yrs)
- Last Updated
- Jul 8, 2007
- License
-
12099 (MN)
Practice Information
- Address
-
3490 LEXINGTON AVE N STE 205SHOREVIEW, MN, 551268044Browse MN providers · Browse ZIP 55126
- Phone
- 6514863808
- Fax
- 6514863858
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in SHOREVIEW, MN
| Name | Credential | NPI |
|---|---|---|
| MR. JAMES WILLIAM TEMPLETON | MSW | 1487641726 |
| AMY BETH HERTLE | L.I.C.S.W., L.P. | 1376605808 |
| KENNETH JOHNSON | LICSW | 1578625893 |
| JEFF WORLEY | LICSW | 1982761342 |
| CONNIE NICHOLS MEYER | MA | 1073636932 |
| JON MARK FISHER | LICSW | 1487820643 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.