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NPI Code Detail

MEDICARE: ANNIE S BUTCHERT

MEDICARE:   ANNIE S BUTCHERT
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1134064728
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNIE S BUTCHERT
Provider Business Mailing Address
First Line : 390 CENTRE ST UNIT 1
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130-1876
Country : US
Telephone Number : 559-770-1390
Fax Number :
Provider Business Practice Location Address
First Line : 100 HANCOCK ST
Second Line :
City : QUINCY
State : MA
Zip : 02171-1745
Country : US
Telephone Number : 617-410-9328
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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Directions to “ ANNIE S BUTCHERT ” Practice Location

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