Individual provider Active NPI

Laura Butts, LCSW

  • Clinical Social Worker
  • Belleville, IL
National Provider Identifier
1467942417
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149020252 Issued in IL
Practice address
223 N Illinois St
Belleville, IL 62220-1316
Phone
(618) 474-9733
Fax
(224) 704-0530
NPI assigned
May 15, 2018
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149020252 IL Primary

Addresses

Primary practice location

223 N Illinois St
Belleville, IL 62220-1316

Mailing address

223 N Illinois St
Belleville, IL 62220-1316
Phone (618) 474-9733

Other identifiers 1

IdentifierTypeStateIssuer
149020252OtherILILLINOIS DEPARTMENT OF FINANCIAL PROFESSIONAL REGULATION

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

State licenses

LicenseStateTypeSpecialty
149020252ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greenhouse Psychotherapy LLC CurrentSince Apr 9, 2023 Accepting new patients
Healthy Strides, LLC PastSince Dec 6, 2022 Accepting new patients

Locations

223 N Illinois St
Belleville, IL 62220
Phone (618) 474-9733

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1467942417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 N ILLINOIS ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201316",
            "telephone_number": "618-474-9733",
            "fax_number": "224-704-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 N ILLINOIS ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201316",
            "telephone_number": "618-474-9733",
            "fax_number": "224-704-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "LAURA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-15",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149020252",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS DEPARTMENT OF FINANCIAL  PROFESSIONAL REGULATION",
            "identifier": "149020252",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.