Healthcare Provider Details

I. General information

NPI: 1811806169
Provider Name (Legal Business Name): EMMA BUTTELL LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3700 FOREST DR STE 400
COLUMBIA SC
29204-4010
US

IV. Provider business mailing address

2110 PICKENS ST APT 220
COLUMBIA SC
29201-2775
US

V. Phone/Fax

Practice location:
  • Phone: 843-994-7696
  • Fax:
Mailing address:
  • Phone: 504-400-9406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number.19001
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: