Active NPI
Jessica Butler, MSW
- Clinical Social Worker
- Pinellas Park, FL
National Provider Identifier
1154862324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 3941 68TH Ave N
Pinellas Park, FL 33781-6136 - Phone
- (727) 657-7761
- NPI assigned
- Mar 20, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | FL | Primary |
Addresses
Primary practice location
3941 68TH Ave N
Pinellas Park, FL 33781-6136
Mailing address
8550 Ulmerton Rd Ste 145
Largo, FL 33771-5357
Phone (727) 262-9158
Other practice location 1
175 Middle St
Suite 1201
Lake Mary, FL 32746-3625
Phone (866) 610-0580
Other practice location 2
3023 Palm Harbor Blvd Unit 102
Palm Harbor, FL 34683-1930
Phone (727) 254-9183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618531200000",
"number": "1154862324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8550 ULMERTON RD STE 145",
"city": "LARGO",
"state": "FL",
"postal_code": "337715357",
"telephone_number": "727-262-9158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3941 68TH AVE N",
"city": "PINELLAS PARK",
"state": "FL",
"postal_code": "337816136",
"telephone_number": "727-657-7761"
}
],
"practiceLocations": [
{
"address_1": "175 Middle St",
"address_2": "Suite 1201",
"address_purpose": "LOCATION",
"city": "Lake Mary",
"state": "FL",
"postal_code": "327463625",
"country_code": "US",
"telephone_number": "866-610-0580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3023 Palm Harbor Blvd Unit 102",
"address_purpose": "LOCATION",
"city": "Palm Harbor",
"state": "FL",
"postal_code": "346831930",
"country_code": "US",
"telephone_number": "727-254-9183",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "JESSICA",
"credential": "MSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-20",
"last_updated": "2021-04-16",
"certification_date": "2021-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pinellas Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.