Individual provider Active NPI

Abigail Williams-Butler, PHD, LCSW, MSW, MS

  • Clinical Social Worker
  • Bolingbrook, IL
National Provider Identifier
1063146363
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.028815 Issued in IL
Practice address
4 Scarlet CT
Bolingbrook, IL 60490-3186
Phone
(217) 372-4349
NPI assigned
Jul 12, 2022
Reactivated
Sep 14, 2022
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.028815 IL Primary

Addresses

Primary practice location

4 Scarlet CT
Bolingbrook, IL 60490-3186

Mailing address

4 Scarlet CT
Bolingbrook, IL 60490-3186
Phone (217) 372-4349

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325001587 IL Practitioner - Clinical Social Worker 5294258844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connections Medical Group Associates LLCGroup PAC ID 2365662517, 14 clinicians

Practice addresses (Care Compare)

2081 Calistoga Dr
Suite 2S
New Lenox, IL 60451-4833
Phone (815) 418-6070

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
149.028815ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Connections Medical Group Associates LLC CurrentSince Mar 1, 2025 Accepting new patients
Williams-Butler & Associates CurrentSince May 4, 2025 Accepting new patients
Sarah Kelder, Inc. Past Accepting new patients

Locations

2081 Calistoga Dr
Ste 2S
New Lenox, IL 60451
Phone (815) 418-6070

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1063146363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 SCARLET CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903186",
            "telephone_number": "217-372-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SCARLET CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604903186",
            "telephone_number": "217-372-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-BUTLER",
        "first_name": "ABIGAIL",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW, MSW, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "deactivation_date": "2022-07-25",
        "reactivation_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.028815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.