Kelley Butler, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS19697 Issued in CA

Practice address

3579 E Foothill Blvd
#237
Pasadena, CA 91107-3119

Phone

(310) 497-8274

NPI assigned

Mar 6, 2007

Last updated

Apr 7, 2011By 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)

Enrolled

State licenses

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.

• Talk Works, Inc.

  • Clinical Social Worker
  • Westlake Village, CA
  • NPI 1619360682
  Authorized official Same address or phone

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302134400000",
    "number": "1245360999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3579 E. FOOTHILL BOULEVARD",
            "address_2": "#237",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91107",
            "telephone_number": "310-497-8274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3579 E FOOTHILL BLVD",
            "address_2": "#237",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073119",
            "telephone_number": "310-497-8274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KELLEY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS19697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Michelle Bustrum, PSY.D.
• Sarah Jane Butcher, LMFT
• Christine R Butler
• Christopher Jay Butler, MPT
• Heather Lee Butler, MD
• Michael S Butnik, MFT
• Shantell Byrd
• Charlotte Anne Byron, RN, MSN, FNP
• Susan Gail Byron, MFT
• Sangho Byun, D.D.S.

• Clinical Social Worker in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2011; 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.