MEDICARE: JANESSA BUTTS LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	108746	TX

General Provider Information

NPI Number	:	1245039536
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANESSA BUTTS LCSW

Provider Business Mailing Address
First Line	:	5900 BALCONES DR # 24680
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78731-4257
Country	:	US
Telephone Number	:	210-728-6247
Fax Number	:

Provider Business Practice Location Address
First Line	:	4515 MISTY SPRINGS DR
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78244-4208
Country	:	US
Telephone Number	:	210-728-6247
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	05/05/2026

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