Provider Demographics
NPI:1578398186
Name:BUCKLEY, JAMES (MSW)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:BUCKLEY
Suffix:
Gender:X
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:910 CEDARTREE LN APT 11
Mailing Address - Street 2:
Mailing Address - City:CLAYMONT
Mailing Address - State:DE
Mailing Address - Zip Code:19703-1656
Mailing Address - Country:US
Mailing Address - Phone:302-603-0999
Mailing Address - Fax:
Practice Address - Street 1:910 CEDARTREE LN APT 11
Practice Address - Street 2:
Practice Address - City:CLAYMONT
Practice Address - State:DE
Practice Address - Zip Code:19703-1656
Practice Address - Country:US
Practice Address - Phone:302-603-0999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical