Healthcare Provider Details

I. General information

NPI: 1386569572
Provider Name (Legal Business Name): WILLIAM DALE BUTLER ASW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 E 1ST ST
CHICO CA
95928-5402
US

IV. Provider business mailing address

2610 SPENCER AVE
OROVILLE CA
95966-6029
US

V. Phone/Fax

Practice location:
  • Phone: 805-714-9164
  • Fax:
Mailing address:
  • Phone: 530-693-7458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number140125
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: