MEDICARE: LIZETTE A BUTTS 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	C018707	NC

General Provider Information

NPI Number	:	1124973326
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZETTE A BUTTS LCSW

Provider Business Mailing Address
First Line	:	1444 MILLPOND RD
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-7554
Country	:	US
Telephone Number	:	252-207-3637
Fax Number	:

Provider Business Practice Location Address
First Line	:	1444 MILLPOND RD
Second Line	:
City	:	ELIZABETH CITY
State	:	NC
Zip	:	27909-7554
Country	:	US
Telephone Number	:	252-207-3637
Fax Number	:

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

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

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Directions to “ LIZETTE A BUTTS LCSW” Practice Location

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