MS. CANDACE BUCKNER (NPI# 1114389301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114389301 |
| Entity Type | Individual |
| Full Name | MS. CANDACE BUCKNER |
| Credential | LLMSW, CAADC |
| Practice Address |
3721 W Michigan Ave Ste 200 Lansing MI 48917-3600 |
| Practice Telephone | 5175156176 |
| Practice Fax Number | 5175156176 |
| Mailing Telephone | 5175156176 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2017-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
C-03445 | MI | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801099467 | MI | Behavioral Health & Social Service Providers |
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers |
| Street Address |
3721 W MICHIGAN AVE STE 200 |
| City | LANSING |
| State | MI |
| Zip Code | 48917-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528380623 | Ricardo David Tillery | Counselor | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2010-02-17 |
| 1336754571 | Innovative Home Health Services | Case Management | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2020-09-14 |
| 1164035051 | Innovative Behavioral Health | Case Management | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2020-08-28 |
| 1427676436 | Innovative Health Systems | Social Worker | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2020-07-07 |
| 1750909768 | Medicab | Meals | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2020-07-07 |
| 1265912281 | Community Behavioral Health Authority | Case Management | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2018-08-20 |
| 1366937435 | Faith Health Systems | Community/Behavioral Health | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2018-06-29 |
| 1407347099 | Jewel Eva Meredith-brenda Mcjennett | Social Worker | 3721 W Michigan Ave Ste 200, Lansing, MI 48917-3600 | 2018-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053937102 | Tawni Klein | Speech-Language Pathologist | 701 Snow Rd Suite A, Lansing, MI 48917 | 2020-06-24 |
| 1639700545 | Steevens Pierre Mirville | Technician | 5814 Cabrena Drive, Lansing, MI 48917 | 2020-01-29 |
| 1376197830 | Cheryl Ann Day | Physical Therapist | 7107 Treasure Isle, Lansing, MI 48917 | 2019-08-01 |
| 1912423849 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 419 Lentz Ct, Lansing, MI 48917 | 2017-08-22 |
| 1215367149 | Thomas Ball | Pharmacist | 5125 W Saginaw, Lansing, MI 48917 | 2013-11-13 |
| 1144658659 | Eaton Care Center, LLC | Skilled Nursing Facility | 12200 Broadbent, Lansing, MI 48917 | 2013-10-18 |
| 1154768596 | Casey Stokes | Physical Therapist | 4911 W St Joe Hwy Suite 101, Lansing, MI 48917 | 2013-05-24 |
| 1164774659 | Bona Birki Gada | Pharmacist | 2410 W. Willow St, Apt A203, Lansing, MI 48917 | 2012-10-08 |
| 1497037584 | Fms Lansing, LLC | Clinic/Center | 916 Mall Drive East, Suite 100, Lansing, MI 48917 | 2011-09-14 |
| 1326332396 | Talitha P Easterly | Psychologist | 302 South Waverly, Suite 1, Lansing, MI 48917 | 2011-06-07 |
| Find all providers in zip 48917 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374019 | Live Love & Laugh Family Services LLC | Social Worker | 6137 Haag Rd, Lansing, MI 48911-5451 | 2020-07-30 |
| 1518585165 | Jaynaya Barlow James | Social Worker | 6139 Haag Rd, Lansing, MI 48911-5451 | 2020-07-09 |
| 1508486580 | Kristina Brenneman | Social Worker | 1510 Illinois Ave, Lansing, MI 48906-4601 | 2020-04-20 |
| 1811526395 | Beeloved Counseling | Social Worker | 5126 W Grand River Ave Ste B, Lansing, MI 48906-9124 | 2020-04-06 |
| 1760021356 | Kelly Nickole Fisher-satterfield | Social Worker | 913 W Holmes Rd Ste 160, Lansing, MI 48910-0411 | 2019-12-30 |
| 1841842820 | Anahata Consulting Pllc | Social Worker | 1801 E Saginaw St Ste 1, Lansing, MI 48912-2326 | 2019-07-10 |
| 1598323636 | Jennifer Lynn Eastman | Social Worker | 940 Ridge Rd, Lansing, NY 14882-8808 | 2019-06-04 |
| 1649734443 | Karly Russell | Social Worker | 3411 Stoneleigh Dr, Lansing, MI 48910-4821 | 2019-01-25 |
| 1639645260 | Jesus Emmanuel Reyes | Social Worker | 18555 Carriage Ln, Lansing, IL 60438-2535 | 2018-10-22 |
| 1033697628 | Aneka Spencer | Social Worker | 17218 Walter St, Lansing, IL 60438-1355 | 2018-08-06 |
| Find all providers in LANSING | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.