STANLEY BUCKLEY LMSW RAODAC NPI 1568404309

NPI Information

NPI: 1568404309
Provider Name: STANLEY BUCKLEY, LMSW, RAODAC
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1929 W 21ST ST N
WICHITA, KS
ZIP 67203
Phone: (316) 660-7700
Get Directions

Stanley Buckley, LMSW, RAODAC is an addiction (substance use disorder) counselor in Wichita, KS. Stanley Buckley, LMSW, RAODAC NPI is 1568404309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1929 W 21ST ST N
WICHITA, KS
ZIP 67203-106
Phone: (316) 660-7700
Fax: (316) 838-2115

The enumeration date for this NPI number is 6/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0053	KANSAS	Yes
2	104100000X	Social Worker		2796	KANSAS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	389906	OTHER	KANSAS	BLUE CROSS BLUE SHIELD
2	4137	OTHER	KANSAS	PREFERRED HEALTH SYSTEMS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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