Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANTANIQUE REVESHA EDMONDS BUCKLEY, LICSW, LCSW
Active Sole ProprietorANTANIQUE REVESHA EDMONDS BUCKLEY, LICSW, LCSW is a Clinical Social Worker healthcare provider located in COLUMBIA, Maryland. NPI 1811374465 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · COLUMBIA, MD
Registration Details
- NPI Number
- 1811374465
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 4, 2015 (11.257332139278 yrs)
- Last Updated
- Apr 1, 2023
- Licenses
-
6801096954 (MI)LC500825825 (DC)0904014720 (VA)26173 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9868 SOFTWATER WAYCOLUMBIA, MD, 210461825Browse MD providers · Browse ZIP 21046
- Phone
- 4435834421
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in COLUMBIA, MD
| Name | Credential | NPI |
|---|---|---|
| VERONICA MORROW | LCSWC | 1699760207 |
| BRENDA LEE MAY | LCSWC | 1164418380 |
| PAMELA Q COLBERT | LCSWC | 1740277334 |
| MS. ELIZABETH H PILSON | LCSW C | 1376599894 |
| JOAN KRAEMER COMPERE | MSW LCSW C | 1457398000 |
| MARILYN YUNK | LCSW-C | 1467490151 |
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.