Individual provider Active NPI

Amal Butler, MSW

  • Social Worker
  • Monroe, MI
National Provider Identifier
1407925993
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801066663 Issued in MI
Practice address
700 Stewart Rd
Suite 105
Monroe, MI 48162-5304
Phone
(734) 240-1760
Fax
(734) 240-1780
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 6801066663 MI Primary

Addresses

Primary practice location

700 Stewart Rd
Suite 105
Monroe, MI 48162-5304

Mailing address

700 Stewart Rd
Suite 105
Monroe, MI 48162-5304
Phone (734) 240-1760

Other identifiers 1

IdentifierTypeStateIssuer
8088949440OtherMIBCBS

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110216000536 MI Practitioner - Clinical Social Worker 2466633953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

311 N Monroe St
Monroe, MI 48162-2621
Phone (734) 819-8048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe Wellness Center LLC CurrentSince Jun 23, 2024 Accepting new patients
Advanced Mental Health PLLC Social Worker CurrentSince Nov 21, 2013 Accepting new patients

Locations

311 N Monroe St
Monroe, MI 48162
Phone (734) 770-7912

311 N Monroe St
Ste 225
Monroe, MI 48162

730 N Macomb St
Ste 225
Monroe, MI 48162
Phone (419) 260-5552

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407925993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 STEWART RD",
            "address_2": "SUITE 105",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625304",
            "telephone_number": "734-240-1760",
            "fax_number": "734-240-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 STEWART RD",
            "address_2": "SUITE 105",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481625304",
            "telephone_number": "734-240-1760",
            "fax_number": "734-240-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "AMAL",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801066663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8088949440",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.