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

Mary Kathleen Buckley, LCSW

Individual provider Clinical Social Worker · NPI 1992045439

Mary Kathleen Buckley, LCSW is a Clinical Social Worker in Fresno, California. Qualified in 1983, 43 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
43
Licensed in
CA
In the registry since
2013
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

1357 W Shaw Ave Ste 102
Fresno, CA 93711-3619
Phone: (559) 464-5279
Fax: (866) 812-5195
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1357 W Shaw Ave Ste 102, Fresno, CA 93711-3619 — (559) 250-6715

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW11572 (CA)

Record details

NPI number1992045439
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 20, 2013
Last updated in NPPESJune 13, 2024
Certification dateJune 13, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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