GWEN ELEANOR BUCKLEY (NPI# 1356624621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356624621 |
| Entity Type | Individual |
| Full Name | GWEN ELEANOR BUCKLEY |
| Credential | L.C.S.W. |
| Practice Address |
1190 Troy Schenectady Rd Latham NY 12110-1014 |
| Practice Telephone | 5186403410 |
| Practice Fax Number | 5186403402 |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-09-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
R036361-1 | NY | Behavioral Health & Social Service Providers |
| Street Address |
1190 TROY SCHENECTADY RD |
| City | LATHAM |
| State | NY |
| Zip Code | 12110-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881769586 | Michael John Grau | Clinical Neuropsychologist | 1190 Troy Schenectady Rd, Latham, NY 12110-1026 | 2006-11-21 |
| 1659988640 | Fatima Khalil Khan | Speech-Language Pathologist | 1190 Troy Schenectady Rd, Latham, NY 12110-1014 | 2020-09-24 |
| 1235412289 | Lynn Rosalsky | Social Worker | 1190 Troy Schenectady Rd, Latham, NY 12110-1014 | 2011-09-26 |
| 1992087902 | Tami S. Crisafulli | Speech-Language Pathologist | 1190 Troy Schenectady Rd, Latham, NY 12110-1014 | 2011-09-15 |
| 1023390671 | Susan E. Frost | Social Worker | 1190 Troy Schenectady Rd, Latham, NY 12110-1014 | 2011-09-09 |
| 1407041502 | Wildwood Programs, Inc. | Clinical Neuropsychologist | 1190 Troy Schenectady Rd, Latham, NY 12110-1026 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154963973 | Bayley Archinal | Physical Therapist | 711 Troy-schenectady Road, Ste 216, Latham, NY 12110 | 2019-10-14 |
| 1114410701 | Kimberly A. Hostig Licensed Clinical Social Worker Pllc | Clinic/Center | 8 Stanley Cir Ste 11, Latham, NY 12110 | 2018-06-08 |
| 1710477260 | Colleen Phillips | Physical Therapist | 711 Troy Schenectady Rd Ste 216, Latham, NY 12110 | 2018-05-10 |
| 1528574779 | Deborah Cannon | Specialist | 33c Waterford Avenue East, Latham, NY 12110 | 2017-12-26 |
| 1730600149 | Michael Navarrete | Dentist | 231 Wade Road Ext Unit 101, Latham, NY 12110 | 2017-07-06 |
| 1316499452 | Colonie Asc LLC | Clinic/Center | 207 Troy-schenectady Rd, Colonie, NY 12110 | 2016-10-25 |
| 1720539950 | Tania M Durante | Pharmacist | 1057 Troy-schenectady Rd, Latham, NY 12110 | 2016-10-24 |
| 1417344987 | New York Epilepsy Medicine, PC | Clinic/Center | 3 Lear Jet Ln Ste 203, Latham, NY 12110 | 2015-04-22 |
| 1346664752 | Lauren Gannon | Registered Nurse | 95 Forts Ferry Road, Latham, NY 12110 | 2014-02-06 |
| 1649522756 | Natasha Kapsaroff-ruiz | Nurse Practitioner | 654 Watervliet Shaker Rd, Latham, NY 12110 | 2012-10-12 |
| Find all providers in zip 12110 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235412289 | Lynn Rosalsky | Social Worker | 1190 Troy Schenectady Rd, Latham, NY 12110-1014 | 2011-09-26 |
| 1023390671 | Susan E. Frost | Social Worker | 1190 Troy Schenectady Rd, Latham, NY 12110-1014 | 2011-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584891 | Alliah Irtan | Social Worker | 20 Randall Ave Apt 3m, Freeport, NY 11520-2756 | 2020-10-02 |
| 1144834045 | Luis Steven Maisonet | Social Worker | 255 Porter Ave, Buffalo, NY 14201-1051 | 2020-09-08 |
| 1386258135 | Kimberly Lama Khan | Social Worker | 301 Henry St Fl 1, New York, NY 10002-4840 | 2020-08-31 |
| 1801406327 | Simone Curling | Social Worker | 93 Lewis Ave Apt 10a, Brooklyn, NY 11206-7031 | 2020-08-10 |
| 1720604622 | Matthew Joseph Danis | Social Worker | 219 W 15th St Apt 1f, New York, NY 10011-6449 | 2020-06-17 |
| 1710512538 | Carmen I Ramos | Social Worker | 580 Castle Hill Ave Apt 7a, Bronx, NY 10473-1514 | 2020-03-12 |
| 1134753429 | Susan London | Social Worker | 5 Peter Cooper Rd Apt Me, New York, NY 10010-6635 | 2020-02-26 |
| 1952948432 | Esmeralda Murati | Social Worker | 65 Tuckahoe Ave, Eastchester, NY 10709-3624 | 2019-12-04 |
| 1588209415 | Tenisha Neil-robinson | Social Worker | Rockland Boces, 65 Parrott Road, West Nyack, NY 10994 | 2019-11-14 |
| 1891345781 | Danielle Tooley | Social Worker | 403 Broadway, Kingston, NY 12401-4625 | 2019-09-12 |
| Find all providers with the same taxonomy | ||||
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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.