Individual provider Active NPI

Lauren Mikala Butler, LCSW

  • Clinical Social Worker
  • Wilmington, NC
National Provider Identifier
1629469101
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P013077 Issued in NC
Practice address
4014 Oleander Dr Ste 101
Wilmington, NC 28403-6811
Phone
(910) 707-4160
Fax
(910) 401-1001
NPI assigned
Feb 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 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 P013077 NC Primary

Addresses

Primary practice location

4014 Oleander Dr Ste 101
Wilmington, NC 28403-6811

Mailing address

4305 Aftonshire Dr
Wilmington, NC 28412-8266
Phone (910) 231-5713

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
P013077NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Parent Like It Matters PLLC Clinical CurrentSince Jan 7, 2024 Accepting new patients

Locations

4014 Oleander Dr
Ste 101
Wilmington, NC 28403
Phone (910) 239-8002

2505 S 17th St
Ste 200
Wilmington, NC 28401
Phone (910) 231-4294

Organizations & group practices 1

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": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1629469101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 AFTONSHIRE DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284128266",
            "telephone_number": "910-231-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 OLEANDER DR STE 101",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036811",
            "telephone_number": "910-707-4160",
            "fax_number": "910-401-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "LAUREN",
        "middle_name": "MIKALA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P013077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.