Individual provider Active NPI

Vinnie M Butler, LCSW

  • Clinical Social Worker
  • Greenwood, IN
National Provider Identifier
1245295070
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34007879A Issued in IN
Practice address
435 E Main St Ste 200
Greenwood, IN 46143-1457
Phone
(317) 743-8202
Fax
(317) 743-8276
NPI assigned
Apr 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S0026980 OH
Clinical Social Worker 1041C0700X 34007879A IN Primary

Addresses

Primary practice location

435 E Main St Ste 200
Greenwood, IN 46143-1457

Mailing address

435 E Main St Ste 200
Greenwood, IN 46143-1457
Phone (317) 743-8202

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20170905001420 IN Practitioner - Clinical Social Worker 9739452202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Generations Counseling Services, LLCGroup PAC ID 7810376696, 4 clinicians

Practice addresses (Care Compare)

9001 Wesleyan Rd
205 Generations Counseling SVCS North
Indianapolis, IN 46268-1150
Phone (317) 743-8202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S0026980OHMDSocial Worker
34007879AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Counseling Services, LLC CurrentSince Feb 23, 2022 Accepting new patients

Locations

9650 Commerce Dr
Ste 532
Carmel, IN 46032
Phone (317) 743-8202

435 E Main St
Ste 200
Greenwood, IN 46143
Phone (317) 473-8202

200 Byrd Way
Ste 155
Greenwood, IN 46143
Phone (317) 599-2624

9001 Wesleyan Rd
Ste 205
Indianapolis, IN 46268
Phone (317) 743-8202

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.

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1245295070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST STE 200",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431457",
            "telephone_number": "317-743-8202",
            "fax_number": "317-743-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 E MAIN ST STE 200",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461431457",
            "telephone_number": "317-743-8202",
            "fax_number": "317-743-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "VINNIE",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S0026980",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34007879A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

Verify at the official NPI Registry.