Butterfly Clinical Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

045056 Issued in NY

Legal business name

BUTTERFLY CLINICAL INC.

Doing business as

Jean Bacon

Practice address

250 W Main St
Bay Shore, NY 11706-8337

Phone

(631) 666-1951

NPI assigned

May 14, 2009

Last updated

Jan 25, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Bacon, LCSW

Title

Director

Phone

(631) 666-1951

Specialties & licenses 11

Addresses

Other names 1

• Jean Bacon Doing business as

Locations

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alisa Janet Ahern, LMSW

  • Social Worker
  • Bay Shore, NY
  • NPI 1366989576
  NPD (past)
• Kimberly Rose Balducci, LMSW

  • Mental Health Counselor
  • Bay Shore, NY
  • NPI 1306164298
  NPD (past)
• Brian R Coyle, LMSW

  • Counselor
  • Bay Shore, NY
  • NPI 1669953758
  NPD (past)
• Joseph M Gagliano, LCSWR

  • Social Worker
  • Port Jefferson, NY
  • NPI 1205940038
  NPD (past)
• Sherri Gilbert, LMSW

  • Social Worker
  • Bay Shore, NY
  • NPI 1295098648
  NPD (past)
• Stephanie A Henriques, LMSW

  • Social Worker
  • Bay Shore, NY
  • NPI 1316285547
  NPD (past)
• Eileen Mahon, LMSW

  • Clinical Social Worker
  • Bay Shore, NY
  • NPI 1831482918
  NPD (past)
• Lauren Nelson, LMSW

  • Social Worker
  • Bay Shore, NY
  • NPI 1871870501
  NPD (past)
• Jayson Novok, LMSW

  • Social Worker
  • Bay Shore, NY
  • NPI 1821442229
  NPD (past)
• Robert Harry Richardson, LMSW

  • Social Worker
  • Bay Shore, NY
  • NPI 1972819910
  NPD (past)
• Anita G. Risener, LCSW-R

  • Clinical Social Worker
  • Medford, NY
  • NPI 1225106792
  NPD (past)
• Suzanne L Velazquez, PH.D., L.C.S.W.

  • Clinical Social Worker
  • Bay Shore, NY
  • NPI 1992021604
  NPD (past)

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264377600000",
    "number": "1184858441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068337",
            "telephone_number": "631-666-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 W MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068337",
            "telephone_number": "631-666-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUTTERFLY CLINICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-14",
        "last_updated": "2010-01-25",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "631-666-1951",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "070508",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "073889",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077805",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "075977",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079551",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "076780",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "074014",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "076163",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079274",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "070271",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "045056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jean Bacon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Burkhardt, N.P.
• Regina Burris
• Brianna Burton
• Ahmad Butt
• Butterfly Clinical
• Butterfly LCSW PC (Jean Bacon)
• Madison Butts
• Kathi Ann Byberg Flynn
• Daria Bystry
• C and C Ambulette Services Corp

• Clinical Social Worker in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2010; 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.