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Contact Information

DANIELLE BUCKLEMAN, LMSW, CASAC
10 WINGED FOOT DR
MEDFORD, NY11763-1804
 Phone: 631-617-2919
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for DANIELLE BUCKLEMAN · (Female)

NPI Number 1508152497
Status Active
Credentials LMSW, CASAC
Entity Individual
Enumeration date 06/20/2011
Last updated 09/09/2025 - About 9 months ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 080654
  • NY License # 24082
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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