Lisa Butler, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150102386 Issued in IL

Practice address

1605 E 50TH St Apt 10B
Chicago, IL 60615-6123

Phone

(773) 941-1291

NPI assigned

Mar 13, 2019

Last updated

Mar 13, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renewed Minds Counseling & Consulting Services LLC

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1972193167
  NPD Authorized official

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

{
    "created_epoch": "1552435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1184183881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E 50TH ST APT 10B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606156123",
            "telephone_number": "773-941-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E 50TH ST APT 10B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606156123",
            "telephone_number": "773-941-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LISA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-13",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150102386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joi A Butler, MD
• Kailan Butler
• Kellie Sereleas Butler, MD
• Kristina Louise Butler, PHD
• Kyshari Butler, DO
• Lizann Nicole Butler
• Madeline Butler, MD
• Maggie Butler, ATC
• Manon Julia Butler
• Marianne K Butler, APN

• Social Worker in Chicago, IL
• Providers in Chicago, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2019; 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.