ANTANIQUE REVESHA EDMONDS BUCKLEY LICSW, LCSW
NPI 1811374465
Social Worker - Clinical in Columbia, MD
About Antanique Revesha Edmonds Buckley Licsw, Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTANIQUE REVESHA EDMONDS BUCKLEY LICSW, LCSW (NPI 1811374465) is an individual clinical provider in Columbia, Maryland, licensed in Maryland (26173) and active in the NPI registry since May 2015. She maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 2
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Antanique Edmonds Buckley's NPI number?
The NPI number for Antanique Edmonds Buckley is 1811374465. It was assigned to this individual provider in the NPPES registry on May 4, 2015. The provider is also known as Antanique Buckley Msw, Lcsw.
Where is Antanique Edmonds Buckley located?
Antanique Edmonds Buckley practices at 9868 Softwater Way, Columbia, MD 21046. The listed phone number is (443) 583-4421.
What is Antanique Edmonds Buckley'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 Antanique Edmonds Buckley was last updated on April 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.