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NPI Code Detail

MEDICARE: DARCY BUTTS SWT

MEDICARE:   DARCY  BUTTS  SWT
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
1104100000XSocial WorkerS.1901145OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558974584
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCY BUTTS SWT
Provider Business Mailing Address
First Line : 310 W LAKESIDE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-1044
Country : US
Telephone Number : 216-698-6526
Fax Number :
Provider Business Practice Location Address
First Line : 310 W LAKESIDE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-1044
Country : US
Telephone Number : 216-698-6526
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2020
Last Update Date : 03/02/2022

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Directions to “ DARCY BUTTS SWT” Practice Location

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