Michaela Buckhannon, LISW CP is a
Social Worker - Clinical based in Charleston, South Carolina. Michaela Buckhannon is licensed to practice in South Carolina (license number 14019) and her current practice location is
171 Ashley Ave, Charleston, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 792-1414.
NPI number for Michaela Buckhannon is 1770174500 and her current mailing address is Po Box 751461, Charlotte, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770174500.
Healthcare Provider's Profile
| Full Name | Michaela Buckhannon |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 171 Ashley Ave, Charleston, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1770174500
- Provider Enumeration Date: 02/03/2021
- Last Update Date: 05/13/2022
Medical Identifiers
Medical identifiers for Michaela Buckhannon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1770174500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | 14019 (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | 14019 (South Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michaela Buckhannon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Michaela Buckhannon, LISW CP Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200 | Michaela Buckhannon, LISW CP 171 Ashley Ave, Charleston, SC 29425-5650 Ph: (843) 792-1414 |
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