Andrew Shehadeh Butler

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

4909 Tanager Dr
Monroe, MI 48161-9644

Phone

(734) 770-7912

NPI assigned

Oct 24, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Monroe Wellness Center LLC

  • Clinical Social Worker
  • Monroe, MI
  • NPI 1356185060
  Medicare reassignment NPD Authorized official
• Advanced Mental Health PLLC

  • Social Worker
  • Monroe, MI
  • NPI 1467883744
  NPD

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477267200000",
    "number": "1386195592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4909 TANAGER DR",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619644",
            "telephone_number": "734-770-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4909 TANAGER DR",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619644",
            "telephone_number": "734-770-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ANDREW",
        "middle_name": "SHEHADEH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Burrous
• Corey Bursztynski
• Heather K Bush
• William Busso, CRNA
• Amal Butler, MSW
• Brianna Butler
• Bennice Byles
• Calderon Mi Dental PLLC
• Elizabeth Caldwell
• Calkins Chiropractic LLC

• Social Worker in Monroe, MI
• Providers in Monroe, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.

Verify at the official NPI Registry.