Active NPI
Emily Butchma, LSW
- Clinical Social Worker
- Mishawaka, IN
National Provider Identifier
1679381842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34013205A
- Practice address
- 3930 Edison Lakes Pkwy Ste 320
Mishawaka, IN 46545-3474 - Phone
- (574) 305-2345
- Fax
- (574) 966-1320
- NPI assigned
- Dec 20, 2024
- Last updated
- Oct 12, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 33012715A | IN | |
| Clinical Social Worker | 1041C0700X | 34013205A | IN | Primary |
Addresses
Primary practice location
3930 Edison Lakes Pkwy Ste 320
Mishawaka, IN 46545-3474
Mailing address
PO Box 809
Goshen, IN 46527-0809
Phone (574) 533-1234
Other practice location 1
1411 Lincolnway W
Mishawaka, IN 46544-1626
Phone (574) 533-1234
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
| License | State | Type | Specialty |
|---|---|---|---|
| 33012715A | IN | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791763200000",
"number": "1679381842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 809",
"city": "GOSHEN",
"state": "IN",
"postal_code": "465270809",
"telephone_number": "574-533-1234",
"fax_number": "574-537-2652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3930 EDISON LAKES PKWY STE 320",
"city": "MISHAWAKA",
"state": "IN",
"postal_code": "465453474",
"telephone_number": "574-305-2345",
"fax_number": "574-966-1320"
}
],
"practiceLocations": [
{
"address_1": "1411 Lincolnway W",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465441626",
"country_code": "US",
"telephone_number": "574-533-1234",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUTCHMA",
"first_name": "EMILY",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-12-20",
"last_updated": "2026-10-12",
"certification_date": "2026-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "IN",
"license": "33012715A",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34013205A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mishawaka, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.