MEDICARE: CARLI PEREZ BUTLER 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	104100000X	Social Worker

General Provider Information

NPI Number	:	1346111259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLI PEREZ BUTLER LCSW

Provider Business Mailing Address
First Line	:	7661 ARUNDEL MILLS BLVD # 1111
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-1305
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7661 ARUNDEL MILLS BLVD # 1111
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-1305
Country	:	US
Telephone Number	:	786-339-7734
Fax Number	:

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

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	12/03/2025

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