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MARY KATHLEEN BUCKLEY LCSW
NPI 1992045439
Social Worker - Clinical in Fresno, CA

Active since February 20, 2013PECOS EnrolledAccepts Medicare Assignment
1357 W SHAW AVE STE 102, FRESNO, CA 93711(559) 464-5279(866) 812-5195 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Mar 12, 2022, May 21, 2019 and 1 more (4 updates tracked since 2018).

About Mary Kathleen Buckley Lcsw NPPES

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

MARY KATHLEEN BUCKLEY LCSW (NPI 1992045439) is an individual clinical provider in Fresno, California, licensed in California (LCSW11572) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fresno, and is a graduate of Other (1983).

NPPES Registry Identity

NPI1992045439
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY KATHLEEN BUCKLEYCredential: LCSW
Location Address1357 W SHAW AVE STE 102Fresno, CA 93711-3619
Mailing Address1357 W Shaw Ave Ste 102Fresno, CA 93711-3619 · (559) 250-6715 · Fax (866) 812-5195
Phone(559) 464-5279
Fax(866) 812-5195
Sole ProprietorYes
Medical School CMSOtherGraduated 1983
Enumeration DateFebruary 20, 2013
Last NPPES UpdateJune 13, 20244 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
✔ NPI 1992045439 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 CA · LCSW11572
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.
1357 W SHAW AVE STE 102, Fresno, CA 93711
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Secondary Practice Location 1

Location 11357 W Shaw Ave Ste 102Fresno, CA 93711-3619 · Phone (559) 250-6715 · Fax (866) 812-5195

Other Identifiers 3

Medicaid7246041CA
OtherCA21889391CA · Anthem Blue Cross
OtherZZZ26585ZCA · Blue Shield Of California

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Mary Kathleen Buckley Lcsw 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 ID8123251352
PECOS Enrollment IDI20140423002361
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.
505 services38 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93711 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 2

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

MARY KAY BUCKLEY, PSYCHOTHERAPIST INC
Community/Behavioral Health
1357 W SHAW AVE STE 102
FRESNO, CA 93711
Fresno County (559) 250-6715
ALYSSA KELSEY HACKETT LMFT
Marriage & Family Therapist
1357 W SHAW AVE STE 102
FRESNO, CA 93711
Fresno County (559) 464-5279

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 Mary Buckley's NPI number?

The NPI number for Mary Buckley is 1992045439. It was assigned to this individual provider in the NPPES registry on February 20, 2013.

Where is Mary Buckley located?

Mary Buckley practices at 1357 W Shaw Ave Ste 102, Fresno, CA 93711. The listed phone number is (559) 464-5279.

What is Mary Buckley's specialty?

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

Is Mary Buckley enrolled in Medicare?

Yes. Mary Buckley 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 Mary Buckley accept?

Health plans from Providence Health Plan list Mary Buckley 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 Mary Buckley was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.