Individual provider Active NPI

Elizabeth Butterworth, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1316622939
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19911 Issued in FL
Practice address
19450 Bloxham Cutoff
Tallahassee, FL 32310-2477
Phone
(828) 447-4030
NPI assigned
Jun 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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 SW19911 FL Primary

Addresses

Primary practice location

19450 Bloxham Cutoff
Tallahassee, FL 32310-2477

Mailing address

19450 Bloxham Cutoff
Tallahassee, FL 32310-2477

Other identifiers 1

IdentifierTypeStateIssuer
1609493097MedicaidOH

Other names 1

  • Beth Butterworth Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1301 McCarthy Blvd
Suite B
New Bern, NC 28562-2033

3630 Clemmons Rd
Unit 1084
Clemmons, NC 27012-9998

3630 Clemmons Rd Unit
Suite 1084
Clemmons, NC 27012-1108

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW19911FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1316622939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19450 BLOXHAM CUTOFF",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323102477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19450 BLOXHAM CUTOFF",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323102477",
            "telephone_number": "828-447-4030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTERWORTH",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609493097",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "BUTTERWORTH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.