MEDICARE: MS. AYANA C BUTTON 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	21104	OK
2	104100000X	Social Worker

General Provider Information

NPI Number	:	1760130660
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AYANA C BUTTON LCSW

Provider Business Mailing Address
First Line	:	4870 S LEWIS AVE STE 250
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-5153
Country	:	US
Telephone Number	:	918-280-8299
Fax Number	:

Provider Business Practice Location Address
First Line	:	4870 S LEWIS AVE STE 250
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74105-5153
Country	:	US
Telephone Number	:	918-205-4148
Fax Number	:

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

Provider Enumeration Date	:	03/10/2022
Last Update Date	:	03/10/2026

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