Jill Buckingham, DTR, LICSW
NPI 1235295148 · Clinical Social Worker · Shoreview, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jill Buckingham, DTR, LICSW is a Clinical Social Worker provider in Shoreview, MN (NPI 1235295148).
Provider details
- NPI number
- 1235295148
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- DTR, LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 12099 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-12-28
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jill Buckingham's NPI number?
- Jill Buckingham's National Provider Identifier (NPI) is 1235295148, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jill Buckingham's specialty?
- Jill Buckingham is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jill Buckingham located?
- Jill Buckingham's practice location on file with NPPES is 3490 Lexington Ave N Ste 205, Shoreview, MN 55126-8044.
- What is Jill Buckingham's phone number?
- The practice phone number listed in the NPPES registry for Jill Buckingham is (651) 486-3808.
- Does Jill Buckingham accept Medicare?
- Jill Buckingham is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jill Buckingham's NPI active?
- Yes — Jill Buckingham's NPI (1235295148) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.