Healthcare Provider Details

I. General information

NPI: 1215770409
Provider Name (Legal Business Name): CLAIRE LAUREN BUTLER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2024
Last Update Date: 04/22/2026
Certification Date: 04/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14900 BOGLE DR STE 200
CHANTILLY VA
20151-1757
US

IV. Provider business mailing address

308 FREDERICKTOWNE DR
STEPHENS CITY VA
22655-2533
US

V. Phone/Fax

Practice location:
  • Phone: 703-817-9890
  • Fax:
Mailing address:
  • Phone: 540-533-6518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: