ANTANIQUE REVESHA EDMONDS BUCKLEY LICSW, LCSW
NPI 1811374465
Social Worker - Clinical in Columbia, MD

Active since May 04, 2015
9868 SOFTWATER WAY, COLUMBIA, MD 21046(443) 583-4421 Get Directions Write a Review

NPPES record last updated: April 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1811374465
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANTANIQUE REVESHA EDMONDS BUCKLEYCredential: LICSW, LCSW
Location Address9868 SOFTWATER WAYColumbia, MD 21046-1825
Mailing Address9868 Softwater WayColumbia, MD 21046-1825 · (443) 583-4421
Sole ProprietorYes
Enumeration DateMay 4, 2015
Last NPPES UpdateApril 1, 2023
NPPES CertifiedOctober 1, 2020
NPI 1811374465 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
Licenses Licensed in MD · 26173 Licensed in DC · LC500825825 Licensed in VA · 0904014720
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 · License 6801096954 (MI)
9868 SOFTWATER WAY, Columbia, MD 21046

Other Names 1

Professional Name (2)Antanique Buckley Msw, Lcsw

Secondary Practice Locations 2

Location 17850 Contee Rd Apt 483Laurel, MD 20707-9268 · Phone (810) 610-4190
Location 22702 Flushing RdFlint, MI 48504-4534 · Phone (810) 424-5998

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)
9868 SOFTWATER WAY
COLUMBIA, MD 21046

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.