ROBYN MARIKO SHIGEMITSU-BUCKLER LCSW
NPI 1164875043
Social Worker - Clinical in Chicago, IL

Q: What is Robyn Shigemitsu-buckler's NPI number?

The NPI number for Robyn Shigemitsu-buckler is 1164875043. It was assigned to this individual provider in the NPPES registry on July 15, 2016.

Q: What is Robyn Shigemitsu-buckler's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since July 15, 2016PECOS Enrolled

1611 W HARRISON ST STE 106B, CHICAGO, IL 60612(312) 563-0830 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 10, 2026, Aug 23, 2023, Sep 19, 2022 and 3 more (6 updates tracked since 2016).

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About Robyn Mariko Shigemitsu-buckler Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBYN MARIKO SHIGEMITSU-BUCKLER LCSW (NPI 1164875043) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149030045) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1164875043

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameROBYN MARIKO SHIGEMITSU-BUCKLERCredential: LCSW

Location Address1611 W HARRISON ST STE 106BChicago, IL 60612-4861

Mailing Address1611 W Harrison St Ste 106bChicago, IL 60612-4861 · (312) 563-0830

Phone(312) 563-0830

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 15, 2016

Last NPPES UpdateMarch 10, 20266 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1164875043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149030045

Definition

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.

Also ListedSocial WorkerTaxonomy 104100000X

1611 W HARRISON ST STE 106B, Chicago, IL 60612

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Secondary Practice Locations 2

Location 13671 Business Dr Ste 110Sacramento, CA 95820-2233 · Phone (800) 823-4543

Location 29412 Big Horn Blvd Ste 6Elk Grove, CA 95758-1101 · Phone (916) 226-2804

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robyn Mariko Shigemitsu-buckler Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698251130

PECOS Enrollment IDI20260114002690

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $60.08 – $183.39

Typical copayment $0.00 (range $15.02 – $45.84)

Most-billed visit code NA

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE KIM

Registered Nurse