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Benjamin Lee Buckner , ASW

Social Worker β€’ El Cerrito, CA

Active NPI 1508328337 Individual Practitioner Male Practitioner
Practice location in NPPES

11175 San Pablo Ave
El Cerrito, CA 945302157

Call 5105595550 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

11175 San Pablo Ave

El Cerrito, CA 945302157

Telephone 5105595550
Organization at the Same NPPES Address or Phone
Bay Area Community Resources, Inc Facility NPI 1770656704

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in El Cerrito and California

8 active clinicians are listed under Social Worker with a practice address in El Cerrito, CA (10,582 in California).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-09
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

17 Historical Events
πŸ”„
NPI Profile Reactivated July 29, 2026

Record officially reactivated for active practice on July 29, 2026

πŸ“
Updated Practice Location July 29, 2026

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

πŸ“
Updated Business Mailing Address July 29, 2026

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

πŸ‘€
Provider Name / Credentials Updated July 29, 2026

Recorded as BENJAMIN BUCKNER, ASW

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

Social Worker (license number reported to NPPES: CA 104356)

⚠️
NPI Profile Deactivated June 25, 2026

NPPES lists this NPI as deactivated as of June 25, 2026; the reason is not published.

πŸ“
Updated Practice Location October 12, 2021

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

πŸ“
Updated Business Mailing Address October 12, 2021

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

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

Social Worker (license number reported to NPPES: CA 104356)

πŸ‘€
Provider Name / Credentials Updated August 26, 2021

Recorded as BENJAMIN BUCKNER, ASW

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

Counselor

βœ…
NPI Profile Active April 01, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 01, 2019

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

πŸ“
Business Mailing Address (Initial Record) April 01, 2019

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

πŸ‘€
Provider Name / Credentials (Initial Record) April 01, 2019

Recorded as BENJAMIN BUCKNER

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

Community Health Worker

🟒
Initial NPI Registration & Enumeration April 01, 2019

First registered as active Individual Practitioner in NPPES Database.

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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
Sole Proprietor: No

Mailing Address

11175 San Pablo Ave

El Cerrito, CA 945302157

Phone: 5105595550

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.