Brittanie Butler, LCSW

Individual provider Active NPI Clinical Social Worker · River Forest, IL

NPI 1437546975 · NPPES record last updated May 9, 2017

Key facts

NPI
1437546975
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
149.019213 (IL)
Practice address
103 Forest Ave
River Forest, IL 60305-2003
Phone
(708) 488-9258
Fax
(708) 488-9261
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
149.019213ILMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.019213 IL Yes

Addresses

Primary practice location

103 Forest Ave
River Forest, IL 60305-2003

Mailing address

103 Forest Ave
River Forest, IL 60305-2003
Phone (708) 488-9258

Other providers in River Forest, IL

All providers in River Forest, IL · Clinical Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.