Individual provider Active NPI

Vanessa S. Butler, LCSW

  • Clinical Social Worker
  • Lexington, NC
National Provider Identifier
1205896925
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C004284 Issued in NC
Practice address
420 N Salisbury St
Lexington, NC 27292-3548
Phone
(336) 243-7475
Fax
(336) 249-6771
NPI assigned
Mar 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C004284 NC Primary

Addresses

Primary practice location

420 N Salisbury St
Lexington, NC 27292-3548

Mailing address

200 E Second Ave
Gastonia, NC 28052-4358
Phone (704) 874-1904

Other identifiers 4

IdentifierTypeStateIssuer
1387WOtherNCBCBS OF NC
E2495OtherNCMEDCOST
1043337OtherNCCIGNA BEHAVIORAL HEALTH
6003597MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040420001513 NC Practitioner - Clinical Social Worker 6507852225 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

425 30TH Ave NW
Hickory, NC 28601-8054

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C004284NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus Wholehealth, PLLC Clinical CurrentSince Jan 5, 2026 Accepting new patients
Lifesource of North Carolina Clinical CurrentSince Nov 1, 2022 Accepting new patients
Monarch CurrentSince Apr 25, 2016 Accepting new patients
Monarch CurrentSince Apr 25, 2016 Accepting new patients
Lifesource of North Carolina Clinical CurrentSince Nov 1, 2022 Accepting new patients
Monarch Current Accepting new patients
New River Mental Health Center Clinical Past Accepting new patients

Locations

350 Pee Dee Ave
Ste 101
Albemarle, NC 28001
Phone (704) 986-1522

5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517

820 Grimes Blvd
Lexington, NC 27292
Phone (336) 224-6071

3205 Randall Pkwy
Ste 105
Wilmington, NC 28403
Phone (910) 338-2880

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1205896925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E SECOND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904",
            "fax_number": "704-867-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N SALISBURY ST",
            "city": "LEXINGTON",
            "state": "NC",
            "postal_code": "272923548",
            "telephone_number": "336-243-7475",
            "fax_number": "336-249-6771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "VANESSA",
        "middle_name": "S.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-25",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C004284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "1387W",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "E2495",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "1043337",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003597",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, NC

Sources for this page

Verify at the official NPI Registry.