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Deactivated NPI 1508328337 Deactivated / Inactive NPI Male Practitioner

Benjamin Lee Buckner , ASW

Social Worker • El Cerrito, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Benjamin Buckner has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 01, 2019
NPI Deactivation Date June 25, 2026
Total Practice Duration ~7 Years of Practice (2019 – 2026)

Professional Overview & Biography Verified Profile Summary

Benjamin Buckner, ASW was a registered Social Worker practicing in El Cerrito, CA. Throughout an active medical career spanning 7 years, Benjamin Buckner provided care at the practice location at 11175 SAN PABLO AVE until profile deactivation on 2026-06-25.

Practice Location & Contact Primary Location

Practice Address

11175 San Pablo Ave

El Cerrito, CA 945302157

Telephone 5105595550
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in El Cerrito, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 33.0 Yrs
State Avg: 16.2 Yrs
Regional Practice Density
8 Specialists

Practicing in El Cerrito, CA (10507 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-09
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License CA 104356

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License CA 104356

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

27 Associated Practitioners
Ruth Ordenana , AMFT

Marriage & Family Therapist

NPI 1023572542

Associate Marriage and Family Therapist

Joanna Illing

Marriage & Family Therapist

NPI 1023853082
NPI 1043599061

Master of Arts

Carly Lukas , MFT

Marriage & Family Therapist

NPI 1114207578

Marriage and Family Therapist

Carson Hunnewell , ASW

Social Worker - Clinical

NPI 1114548625

Associate Social Worker

Shonali Shome

Marriage & Family Therapist

NPI 1124708961

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Practice Location July 29, 2026

Registered at 11175 SAN PABLO AVE, EL CERRITO, CA 945302157 (Tel: 5105595550)

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Updated Business Mailing Address July 29, 2026

Registered at 11175 SAN PABLO AVE, EL CERRITO, CA 945302157 (Tel: 5105595550)

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Provider Name / Credentials Updated July 29, 2026

Recorded as BENJAMIN BUCKNER, ASW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2026

Social Worker (License #104356 in CA)

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NPI Profile Deactivated June 25, 2026

Record deactivated on June 25, 2026

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Updated Practice Location October 12, 2021

Registered at 11175 SAN PABLO AVE, EL CERRITO, CA 945302157 (Tel: 5105595550)

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Updated Business Mailing Address October 12, 2021

Registered at 11175 SAN PABLO AVE, EL CERRITO, CA 945302157 (Tel: 5105595550)

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2021

Social Worker (License #104356 in CA)

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Provider Name / Credentials Updated August 26, 2021

Recorded as BENJAMIN BUCKNER, ASW

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2021

Counselor

NPI Profile Active April 01, 2019

NPI status registered as active in NPPES database

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Updated Practice Location April 01, 2019

Registered at 1120 GORDON LN, SANTA ROSA, CA 954045636 (Tel: 7075273249)

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Updated Business Mailing Address April 01, 2019

Registered at 368 FELL ST, SAN FRANCISCO, CA 941025144 (Tel: 4158610828)

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Provider Name / Credentials Updated April 01, 2019

Recorded as BENJAMIN BUCKNER

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2019

Community Health Worker

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Initial NPI Registration & Enumeration April 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508328337
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2019
Last Update: July 29, 2026
Deactivation Date: June 25, 2026
Sole Proprietor: No

Mailing Address

11175 San Pablo Ave

El Cerrito, CA 945302157

Phone: 5105595550

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.