MEDICARE: THOMAS BUTTS MSW

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	SW132008	PA

General Provider Information

NPI Number	:	1144605031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	THOMAS BUTTS MSW

Provider Business Mailing Address
First Line	:	110 SPRUCE ST
Second Line	:
City	:	LEWISBURG
State	:	PA
Zip	:	17837-1864
Country	:	US
Telephone Number	:	814-404-7600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1372 N SUSQUEHANNA TRL
Second Line	:	SUITE 330
City	:	SELINSGROVE
State	:	PA
Zip	:	17870-8971
Country	:	US
Telephone Number	:	570-743-2323
Fax Number	:

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

Provider Enumeration Date	:	07/21/2015
Last Update Date	:	03/19/2020

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