Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Antanique Revesha Edmonds Buckley, LICSW, LCSW

Individual provider Social Worker · NPI 1811374465

Antanique Revesha Edmonds Buckley, LICSW, LCSW is a Social Worker in Columbia, Maryland. Practices as a sole proprietor and works from 3 locations. Licensed in District of Columbia, Maryland, Michigan and Virginia.

Licensed in
DC, MD, MI, VA
In the registry since
2015
Specialties on file
5
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

9868 Softwater Way
Columbia, MD 21046-1825
Phone: (443) 583-4421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7850 Contee Rd Apt 483, Laurel, MD 20707-9268 — (810) 610-4190
  • 2702 Flushing Rd, Flint, MI 48504-4534 — (810) 424-5998

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 26173 (MD)
Social Worker Taxonomy 104100000X · Licence 6801096954 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC500825825 (DC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904014720 (VA)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1811374465
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW , LCSW
Sole proprietorYes
NPI enumeratedMay 4, 2015
Last updated in NPPESApril 1, 2023
Certification dateOctober 1, 2020

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