KERRY DEAN BUCKLE LCSW
NPI 1316795032
Social Worker - Clinical in Fargo, ND

Active since May 08, 2024
5622 34TH AVE S, FARGO, ND 58104(701) 237-0942 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kerry Dean Buckle Lcsw NPPES

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

KERRY DEAN BUCKLE LCSW (NPI 1316795032) is an individual clinical provider in Fargo, North Dakota, licensed in North Dakota (5140) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1316795032
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKERRY DEAN BUCKLECredential: LCSW
Location Address5622 34TH AVE SFargo, ND 58104-7879
Mailing Address5622 34th Ave SFargo, ND 58104-7879 · (701) 306-9855
Sole ProprietorNo
Enumeration DateMay 8, 2024
NPPES CertifiedFebruary 2, 2024
NPI 1316795032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in ND · 5140
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.

5622 34TH AVE S, Fargo, ND 58104

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
5622 34TH AVE S
FARGO, ND 58104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kerry Buckle's NPI number?

The NPI number for Kerry Buckle is 1316795032. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Kerry Buckle located?

Kerry Buckle practices at 5622 34th Ave S, Fargo, ND 58104. The listed phone number is (701) 237-0942.

What is Kerry Buckle's specialty?

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

When was this NPI record last updated?

The NPPES record for Kerry Buckle was last updated on May 8, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.