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

Marcy Beth Buckner, LICSW

Individual provider Clinical Social Worker · NPI 1568408672

Marcy Beth Buckner, LICSW is a Clinical Social Worker in Golden Valley, Minnesota. Qualified in 1987, 39 years ago. Accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
39
Licensed in
MN
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

3915 Golden Valley Road Courage Ctr
Golden Valley, MN 55422-4298
Phone: (763) 520-0463
Fax: (763) 520-0355
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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 11250 (MN)

Record details

NPI number1568408672
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJune 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3915 Golden Valley Road, Courage Center, Golden Valley, MN 55422-4298

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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