Lateisha Butler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

252900 Issued in KY

Practice address

2530 Scottsville Rd Ste 22
Bowling Green, KY 42104-6509

Phone

(270) 599-0847

Fax

(270) 418-3329

NPI assigned

Oct 2, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Dove Healing Center LLC

  • Clinical Social Worker
  • Bowling Green, KY
  • NPI 1346950557
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1124421367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 SCOTTSVILLE RD STE 22",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046509",
            "telephone_number": "270-599-0847",
            "fax_number": "270-418-3329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 SCOTTSVILLE RD STE 22",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421046509",
            "telephone_number": "270-599-0847",
            "fax_number": "270-418-3329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LATEISHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "252900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100487730",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Burt, OD
• Belinda Shnay Burton, PHARM.D.
• Lisa M Burton, ARNP
• George Wayne Bush, M.D.
• Randi Nicole Bush
• Ronald Butler, BA
• Emiley Button, APRN
• Tanya Dawn Buttry, M.A., CCC/SLP
• Tassie Richard Butts
• Kyla M Byard, FNP-C

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.