Melissa Buckley
NPI 1093149452ActiveIndividual· Social Worker· Dixon, IL
Social Worker in Dixon, Illinois, licensed in IL, with an NPI issued in August 2013. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1093149452 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 21, 2013 |
| Last updated in NPPES | Jun 5, 2023 |
| Certified by provider | Jun 4, 2023 |
| Reactivated | Dec 20, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | 149.024911 | IL |
| Counselor, Mental Health | 101YM0800X | 149.024911 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (IL) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 46 social workers in Dixon · All social workers in Illinois