MEDICARE: AMANDA E BUCKNER LSCSW

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	1041C0700X	Clinical Social Worker	4784	KS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7743	OTHER	KS	LMSW LICENSE

General Provider Information

NPI Number	:	1659678498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA E BUCKNER LSCSW

Provider Business Mailing Address
First Line	:	PO BOX 273
Second Line	:
City	:	ARLINGTON
State	:	KS
Zip	:	67514-0273
Country	:	US
Telephone Number	:	620-931-8869
Fax Number	:	855-514-2738

Provider Business Practice Location Address
First Line	:	113 W MAIN ST
Second Line	:
City	:	ARLINGTON
State	:	KS
Zip	:	67514-9701
Country	:	US
Telephone Number	:	620-931-8869
Fax Number	:	855-514-2738

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

Provider Enumeration Date	:	02/14/2011
Last Update Date	:	03/27/2025

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Directions to “ AMANDA E BUCKNER LSCSW” Practice Location

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