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NPI Code Detail

MEDICARE: DEBORAH L BUTLER MSW

MEDICARE: DEBORAH L BUTLER 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
11041C0700XClinical Social WorkerISW01409RI
21041C0700XClinical Social Worker110041MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
162-28559OTHERRIUNITED BEHAVIORAL HEALTH
229521-7OTHERRIBLUE CROSS
3412570OTHERRIBLUE CHIP
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1760428080
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH L BUTLER MSW
Provider Business Mailing Address
First Line : 151 ROCK ST
Second Line : FRFSA
City : FALL RIVER
State : MA
Zip : 02720-3201
Country : US
Telephone Number : 508-235-3436
Fax Number :
Provider Business Practice Location Address
First Line : 2425 HIGHLAND AVE
Second Line : ST. VINCENT'S HOME
City : FALL RIVER
State : MA
Zip : 02720-4508
Country : US
Telephone Number : 508-235-3436
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2006
Last Update Date : 07/14/2009

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