Active NPI
Sara Rachel Butler, LCSW
- Clinical Social Worker
- Red Bank, NJ
National Provider Identifier
1184073744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05689600
- Practice address
- 18 Wallace St
Red Bank, NJ 07701-1857 - Phone
- (732) 759-0194
- NPI assigned
- Jun 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 44SC05689600 | NJ | Primary |
Addresses
Primary practice location
18 Wallace St
Red Bank, NJ 07701-1857
Mailing address
PO Box 6512
Edison, NJ 08818-6512
Phone (732) 759-0194
Other practice location 1
219 Taylors Mills Rd
Manalapan, NJ 07726-3255
Phone (732) 679-6079
Other practice location 2
108 Main St
Oceanport, NJ 07757-1030
Phone (732) 759-0194
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05689600 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Organization for Therapeutic Treatment, Education,and Recovery LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Red Bank, NJ
- NPI 1992201362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1184073744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6512",
"city": "EDISON",
"state": "NJ",
"postal_code": "088186512",
"telephone_number": "732-759-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 WALLACE ST",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077011857",
"telephone_number": "732-759-0194"
}
],
"practiceLocations": [
{
"address_1": "219 Taylors Mills Rd",
"address_purpose": "LOCATION",
"city": "Manalapan",
"state": "NJ",
"postal_code": "077263255",
"country_code": "US",
"telephone_number": "732-679-6079",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "108 Main St",
"address_purpose": "LOCATION",
"city": "Oceanport",
"state": "NJ",
"postal_code": "077571030",
"country_code": "US",
"telephone_number": "732-759-0194",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTLER",
"first_name": "SARA",
"middle_name": "RACHEL",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-05",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05689600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bank, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.