Liza Renee' Butts, LCSW
Individual provider Active NPI Clinical Social Worker · Oneonta, NY
NPI 1124280169 · NPPES record last updated Aug 21, 2012
Key facts
- NPI
- 1124280169
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 07663 (NY)
- Practice address
- 242 Main St
Oneonta, NY 13820-2527 - Phone
- (607) 433-2343
- NPI assigned
- Jul 1, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07663 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 07663 | NY | Yes |
Addresses
Primary practice location
242 Main St
Oneonta, NY 13820-2527
Mailing address
211 Main St
Afton, NY 13730-3222
Phone (607) 639-2031
Other providers in Oneonta, NY
- Theodore A Burr
- Nicholas Bush
- Eric John Bushnell
- Kelly Ann Butler
- Zubair Majid Butt
- Abraham Ibanez Caampued
- Sara Cannistra
- Douglas H Cannon
- Marianne Capra
- Cardiology Associates of Oneonta
All providers in Oneonta, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.