Traci Marie Butler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C010556 Issued in NC

Practice address

252 Wilmot Dr
Gastonia, NC 28054-4047

Phone

(704) 916-6672

Fax

(704) 916-6672

NPI assigned

Mar 5, 2018

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1184126294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6824 WILGROVE MINT HILL RD",
            "city": "MINT HILL",
            "state": "NC",
            "postal_code": "282273428",
            "telephone_number": "704-916-6672",
            "fax_number": "704-916-6672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 WILMOT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280544047",
            "telephone_number": "704-916-6672",
            "fax_number": "704-916-6672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6824 Wilgrove Mint Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Mint Hill",
            "state": "NC",
            "postal_code": "282273428",
            "country_code": "US",
            "telephone_number": "704-916-6672",
            "fax_number": "704-916-6672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "TRACI",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C010556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3419268",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Parag Butala, MD
• Sondra Butch
• Leon Butcher IV, DDS
• Jerome Mack Butler Jr., M.D.
• Lisa Maloney Butler, MSW, LCSW
• Kyle Button, LCMHC-A, LCAS-A
• Jashauna Butts
• Brian Derek Buzzeo, M.D.
• Via-Tonda E. Byers, LMFT
• Orrin Anthony Bynes, MSW, LCSW

• Clinical Social Worker in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.