Kristan Shelby Butler, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

531 Main St
East Hartford, CT 06108-3305

Phone

(860) 282-8882

NPI assigned

Aug 17, 2021

Last updated

Aug 17, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Matters Outpatient Psychiatric Clinic for Children, Inc.

  • Community/Behavioral Health Agency
  • East Hartford, CT
  • NPI 1295336329
  NPD

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

{
    "created_epoch": "1629158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1326714742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061083305",
            "telephone_number": "860-282-8882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 Main Street",
            "address_purpose": "LOCATION",
            "city": "East Hartford",
            "state": "CT",
            "postal_code": "061080610",
            "country_code": "US",
            "telephone_number": "860-282-8882",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "KRISTAN",
        "middle_name": "SHELBY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-17",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Burke, CRNA
• Kristen Denise Burnham
• Burnside Dental Care, PC
• Arsenio M Bustos, MD
• Sharon L. Buteau, PT
• Butterfly Effects LLC
• Katherine A Button
• BVC Group of Companies, LLC (BVC Homecare)
• Tatianna Q Byfield
• Sarah Cabahug, LCSW

• Clinical Social Worker in East Hartford, CT
• Providers in East Hartford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.