Individual provider Active NPI

Elizabeth Clara Butler, M.ED., LSW

  • Social Worker
  • Euclid, OH
National Provider Identifier
1386216224
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
S6507 Issued in OH
Practice address
25701 N Lakeland Blvd Ste 403
Euclid, OH 44132-2453
Phone
(216) 273-7000
NPI assigned
Jul 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S6507 OH Primary

Addresses

Primary practice location

25701 N Lakeland Blvd Ste 403
Euclid, OH 44132-2453

Mailing address

25701 N Lakeland Blvd Ste 403
Euclid, OH 44132-2453
Phone (216) 273-7000

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL 25701NLakelandBlvdSte403EuclidOH44132-2453US Genesis Behavioral Services Incorporated
SOAP URL 25701NLakelandBlvdSuite403EuclidOH44132 Genesis Behavioral Services Incorporated

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
S6507OHMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1386216224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25701 N LAKELAND BLVD STE 403",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322453",
            "telephone_number": "216-273-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25701 N LAKELAND BLVD STE 403",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441322453",
            "telephone_number": "216-273-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ELIZABETH",
        "middle_name": "CLARA",
        "name_prefix": "Ms.",
        "credential": "M.ED., LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S6507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "25701NLakelandBlvdSte403EuclidOH44132-2453US",
            "affiliation": "Y",
            "affiliationName": "Genesis Behavioral Services Incorporated",
            "address_1": "25701 N Lakeland Blvd Ste 403",
            "city": "Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441322453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "25701NLakelandBlvdSuite403EuclidOH44132",
            "affiliation": "Y",
            "affiliationName": "Genesis Behavioral Services Incorporated",
            "address_1": "25701 N Lakeland Blvd Ste 403",
            "city": "Euclid",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441322453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Euclid, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.