Lashannon Sherica Butler
Individual provider Active NPI Clinical Social Worker · Clinton, MS
NPI 1255808945 · NPPES record last updated Aug 27, 2024
Key facts
- NPI
- 1255808945
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C7706 (MS)
- Practice address
- 104 Glen Auburn Dr
Clinton, MS 39056-6051 - Phone
- (601) 919-6214
- NPI assigned
- Oct 31, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7706 | MS | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C7706 | MS | Yes |
Addresses
Primary practice location
104 Glen Auburn Dr
Clinton, MS 39056-6051
Mailing address
104 Glen Auburn Dr
Clinton, MS 39056-6051
Phone (601) 919-6214
Other practice location 1
3530 Manor Dr Ste 5
Vicksburg, MS 39180-5625
Phone (601) 738-5280
Other providers in Clinton, MS
- James Turner Brown
- Hannah Bryant
- Elise C Buckley
- Channing Burden
- Bethany Claire Bush
- Sheila Marie Butler
- Yvette Fortner Butler
- Emma Claire Byers
- Taylor M Byrd
- William Hudson Byrnes
All providers in Clinton, MS · Clinical Social Worker in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.