Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kerry Dean Buckle, LCSW

Individual provider Clinical Social Worker · NPI 1316795032

Kerry Dean Buckle, LCSW is a Clinical Social Worker in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2024.

Licensed in
ND
In the registry since
2024
What do these letters mean?
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

5622 34th Ave S
Fargo, ND 58104-7879
Phone: (701) 237-0942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5140 (ND)

Record details

NPI number1316795032
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 8, 2024
Certification dateFebruary 2, 2024

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