Organization Active NPI

Robert O Butler

  • Clinical Social Worker
  • Petaluma, CA
National Provider Identifier
1629964317
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROBERT O BUTLER
Doing business as
Relationship Center For Change
Practice address
1 Bodega Ave
Petaluma, CA 94952-2666
Phone
(707) 241-3003
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Robert O Butler, LCSWNPI 1093718454
Title
Owner
Phone
(707) 241-3003

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1 Bodega Ave
Petaluma, CA 94952-2666

Mailing address

40 4TH St # 224
Petaluma, CA 94952-3040
Phone (707) 241-3003

Other names 1

  • Relationship Center For Change Doing business as

National Provider Directory

National Provider Directory

Locations

1 Bodega Ave
Petaluma, CA 94952
Phone (707) 241-3003

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1629964317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 4TH ST # 224",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523040",
            "telephone_number": "707-241-3003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BODEGA AVE",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522666",
            "telephone_number": "707-241-3003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT O BUTLER",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-241-3003",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Relationship Center For Change",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Relationship Center For Change",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.