RONNA BUCKUN (NPI# 1760941470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760941470 |
| Entity Type | Individual |
| Full Name | RONNA BUCKUN |
| Practice Address |
800 Main St Ste 210 Antioch IL 60002-1578 |
| Mailing Address |
Po Box 856 Antioch IL 60002-0856 |
| Practice Telephone | 8479035604 |
| Practice Fax Number | 2247885112 |
| Mailing Telephone | 8479035604 |
| Mailing Fax Number | 2247885112 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
149.008224 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 0001609365519 | 05 |
| Street Address |
800 MAIN ST STE 210 |
| City | ANTIOCH |
| State | IL |
| Zip Code | 60002-1578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962520601 | Cynthia Maria Marzette | Social Worker | 800 Main St Ste 210, Antioch, IL 60002-1578 | 2007-03-27 |
| 1992318661 | Marcy Patterson | Social Worker | 800 Main St Ste 210, Antioch, IL 60002-1578 | 2020-08-24 |
| 1437783222 | Holly Kelly Ambrose | Social Worker | 800 Main St Ste 210, Antioch, IL 60002-1578 | 2020-03-02 |
| 1851939060 | Chanel Hampton | Social Worker | 800 Main St Ste 210, Antioch, IL 60002-1578 | 2019-12-18 |
| 1902442742 | Anita Jones | Social Worker | 800 Main St Ste 210, Antioch, IL 60002-1578 | 2019-11-26 |
| 1518501121 | Claudia Gutierrez | Social Worker | 800 Main St Ste 210, Antioch, IL 60002-1578 | 2019-11-06 |
| 1972150712 | Edith Moran | Social Worker | 800 Main St Ste 210, Antioch, IL 60002-1578 | 2019-08-26 |
| 1861049611 | Kristina Anderson | Social Worker | 800 Main St Ste 210, Antioch, IL 60002-1578 | 2019-08-26 |
| 1346897972 | Rachel Dunning | Social Worker | 800 Main St Ste 210, Antioch, IL 60002-1578 | 2019-08-19 |
| 1528629938 | Tiffany Nix | Social Worker | 800 Main St Ste 210, Antioch, IL 60002-1578 | 2019-06-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821620345 | Kathleen Ann Bleyaert | Technician | 24238 W. Bayview Rd, Antioch, IL 60002 | 2020-02-12 |
| 1992354385 | Pauravi Hefner | Developmental Therapist | 270 Hickory Lane, Antioch, IL 60002 | 2019-09-09 |
| 1689023558 | Shannon Marie Herman | Pharmacist | 966 Route 59, Antioch, IL 60002 | 2016-06-10 |
| 1992151856 | Suchitra Gosavi | Physical Therapist | 3703west Lake Ave, Suit 200, Glenview, IL 60002 | 2016-05-10 |
| 1336513357 | Athletico Ltd | Physical Therapist | 1122 Main St., Antioch, IL 60002 | 2015-11-16 |
| 1811306335 | Jennifer Fitzgerald | Massage Therapist | 673 Cameron Drive, Antioch, IL 60002 | 2014-08-08 |
| 1114262052 | Michael W Silenzi | Physical Therapist | 543 Orchard Str, Antioch, IL 60002 | 2012-12-04 |
| 1659561678 | Expert Home Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 40225 N Rt 83, Suite B, Antioch, IL 60002 | 2007-07-26 |
| 1821157769 | Robert T Sven,dds,ltd | Dentist | 439 Lake Street, Antioch, IL 60002 | 2006-12-06 |
| 1447326004 | Stanley Jerome Witkiewicz | Dentist | 715 N Main, Antioch, IL 60002 | 2006-11-27 |
| Find all providers in zip 60002 | ||||
| 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 |
|---|---|---|---|---|
| 1861090086 | Elda | Social Worker | 2334 Buchanan Rd Ste 2356, Antioch, CA 94509-4411 | 2020-10-09 |
| 1588278170 | Esmeralda Alcala Okendo | Social Worker | 4413 Palisades Way, Antioch, CA 94531-8228 | 2020-09-01 |
| 1821612102 | Nicholas Piccard | Social Worker | 1198 Bayshore Dr, Antioch, IL 60002-1468 | 2020-06-03 |
| 1114346582 | Malikea Walker | Social Worker | 2609 Forty Niner Way, Antioch, CA 94531-8001 | 2014-04-14 |
| 1518214378 | Maxine Perrier-morris | Social Worker | 4545 Delta Fair Blvd, Antioch, CA 94509-3950 | 2012-08-12 |
| 1912252016 | Anna Midgett Snyder | Social Worker | 2311 Hobson Pike, Antioch, TN 37013-1110 | 2012-07-16 |
| 1194016139 | Dolores Lynal Williams | Social Worker | 5179 Lone Tree Way, Suite 509, Antioch, CA 94531-8689 | 2011-04-26 |
| 1700110657 | Queen Adu-poku | Social Worker | 2810 Lone Tree Way Ste 9, Antioch, CA 94509-4956 | 2009-09-24 |
| 1437348331 | Carrie Lee Frazier | Social Worker | 301 W. 10th Street, Suite #24, Antioch, CA 94509 | 2007-10-17 |
| 1194847269 | Veronica Leigh Baines | Social Worker | 3432 Hillcrest Ave Ste 175, Antioch, CA 94531-6343 | 2007-04-06 |
| Find all providers in ANTIOCH | ||||
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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.