MEDICARE: YOCHENEN BUXBAUM LMSW, CASAC-T

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	125977-01	NY

General Provider Information

NPI Number	:	1154022119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOCHENEN BUXBAUM LMSW, CASAC-T

Provider Business Mailing Address
First Line	:	42 S 10TH ST APT 7C2
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11249-7077
Country	:	US
Telephone Number	:	718-400-0545
Fax Number	:

Provider Business Practice Location Address
First Line	:	12 BOERUM ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11206-8189
Country	:	US
Telephone Number	:	718-400-0545
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/15/2023
Last Update Date	:	12/08/2025

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