Provider Demographics
NPI:1205060639
Name:BUCKLEY, SARA (LCSW)
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:
Last Name:BUCKLEY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7112 WHISPERING WINDS DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-5244
Mailing Address - Country:US
Mailing Address - Phone:512-298-8064
Mailing Address - Fax:512-697-8279
Practice Address - Street 1:8700 MANCHACA RD
Practice Address - Street 2:STE 801
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5379
Practice Address - Country:US
Practice Address - Phone:512-298-8064
Practice Address - Fax:512-697-8279
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical