William Macduff Butler, LCSW

Individual provider Active NPI Clinical Social Worker · Clearfield, UT

NPI 1275864902 · NPPES record last updated Jan 20, 2010

Key facts

NPI
1275864902
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
263449-3501 (UT)
Practice address
189 S State St
Ste 160
Clearfield, UT 84015-1061
Phone
(801) 773-2044
Fax
(801) 773-4826
NPI assigned
Jan 20, 2010
Sex
Male
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

LicenseStateTypeSpecialty
263449-3501UTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 263449-3501 UT Yes

Addresses

Primary practice location

189 S State St
Ste 160
Clearfield, UT 84015-1061

Mailing address

189 S State St
Ste 160
Clearfield, UT 84015-1061

Other providers in Clearfield, UT

All providers in Clearfield, UT · Clinical Social Worker in Utah

Sources for this page

Verify at the official NPI Registry.