1. Home
  2. Directory
  3. Minnesota
  4. Golden Valley
  5. Social Worker
  6. NPI Profile

MARCY BETH BUCKNER LICSW
NPI 1568408672
Social Worker - Clinical in Golden Valley, MN

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
3915 GOLDEN VALLEY ROAD, COURAGE CENTER, GOLDEN VALLEY, MN 55422(763) 520-0463(763) 520-0355 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marcy Beth Buckner Licsw NPPES

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

MARCY BETH BUCKNER LICSW (NPI 1568408672) is an individual clinical provider in Golden Valley, Minnesota, licensed in Minnesota (11250) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1568408672
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARCY BETH BUCKNERCredential: LICSW
Location Address3915 GOLDEN VALLEY ROAD, COURAGE CENTERGolden Valley, MN 55422-4298
Mailing Address3915 Golden Valley Road, Courage CenterGolden Valley, MN 55422-4298 · (763) 520-0463 · Fax (763) 520-0355
Phone(763) 520-0463
Fax(763) 520-0355
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJune 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1568408672 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 MN · 11250
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.
3915 GOLDEN VALLEY ROAD, Golden Valley, MN 55422
Open in Google Maps ↗

Other Names 1

Former Name (1)Marcy Beth Polan

Other Identifiers 4

Other63D31BUMN · Bcbs Minnesota
Other963371008127Preferred One
Other6236582Ubh
OtherHP38889Healthpartners

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marcy Beth Buckner Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860490059
PECOS Enrollment IDI20170717003006
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
1,008 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55422 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 $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
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 20

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

MONICA L MOMMSEN OTRL
Occupational Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 588-0811
LEE ANN MAE MATEFFY OTR L
Occupational Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 520-0431
CHRISTA MARIE HASKINS PT
Physical Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 520-0647
NATHANYAL M JACKLITCH MPT
Physical Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 520-0867
MELISSA A GILL PT
Physical Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 588-4798
MARSHA ZUCKERMAN MSSW
Social Worker (Clinical)
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
MINNEAPOLIS, MN 55422
Hennepin County (763) 520-0721
ELIZABETH JUNE CONNELLY PTA
Physical Therapy Assistant
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 520-0709
SHEREEN ESSACK OTR L
Occupational Therapist
3915 GOLDEN VALLEY ROAD, COURAGE CENTER
GOLDEN VALLEY, MN 55422
Hennepin County (763) 520-0712

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 Marcy Buckner's NPI number?

The NPI number for Marcy Buckner is 1568408672. It was assigned to this individual provider in the NPPES registry on June 20, 2006. The provider is also known as Marcy Beth Polan.

Where is Marcy Buckner located?

Marcy Buckner practices at 3915 Golden Valley Road Courage Center, Golden Valley, MN 55422. The listed phone number is (763) 520-0463.

What is Marcy Buckner's specialty?

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

Is Marcy Buckner enrolled in Medicare?

Yes. Marcy Buckner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Marcy Buckner accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Marcy Buckner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marcy Buckner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.