NPIMap

Organization Active NPI

Jessica Butler LCSW PLLC

  • Clinical Social Worker
  • Baldwinsville, NY
National Provider Identifier
1316647985
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
JESSICA BUTLER LCSW PLLC
Practice address
43 Oswego St Ste 100
Baldwinsville, NY 13027-2425
Phone
(315) 320-6208
NPI assigned
Mar 3, 2023
Last updated
Mar 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jessica ButlerNPI 1699052084
Title
LCSW/Owner
Phone
(315) 320-6208

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

43 Oswego St Ste 100
Baldwinsville, NY 13027-2425

Mailing address

8432 Gaskin Rd
Baldwinsville, NY 13027-9252
Phone (315) 317-3265

Other names 1

  • Just Be Kids LLC Other name

National Provider Directory

National Provider Directory

Locations

43 Oswego St
Ste 100
Baldwinsville, NY 13027
Phone (315) 308-1248

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677801600000",
    "number": "1316647985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8432 GASKIN RD",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130279252",
            "telephone_number": "315-317-3265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 OSWEGO ST STE 100",
            "city": "BALDWINSVILLE",
            "state": "NY",
            "postal_code": "130272425",
            "telephone_number": "315-320-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA BUTLER LCSW PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-03",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "315-320-6208"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Just Be Kids LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baldwinsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2023; 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.