Active NPI
Elizabeth Butterworth, LCSW
- Clinical Social Worker
- Tallahassee, FL
National Provider Identifier
1316622939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW19911
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609493097 | Medicaid | OH |
Other names 1
- Beth Butterworth
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW19911 | FL | MD | Clinical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.