Individual
CAROLINE BUCKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LCSW
Contact information
Practice address
1008 S BROADWAY, LEXINGTON, KY 40504-2605
(859) 224-8060
(859) 381-0424
Mailing address
1008 S BROADWAY, LEXINGTON, KY 40504-2605
(859) 224-8060
(859) 381-0424
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0395
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000008715
CHA
KY
01
—
000000049201
BCBS
—
01
—
000000059726
BCBS
KY
Enumeration date
09/26/2006
Last updated
03/23/2008
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