Individual provider Active NPI

Maxine Butler, M.S.W.

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1679629554
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00138900 Issued in NJ
Practice address
1916 Marlton Pike E
Suite 2
Cherry Hill, NJ 08003-2139
Phone
(856) 751-0194
Fax
(856) 751-6201
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC00138900 NJ Primary

Addresses

Primary practice location

1916 Marlton Pike E
Suite 2
Cherry Hill, NJ 08003-2139

Mailing address

1916 Marlton Pike E
Suite 2
Cherry Hill, NJ 08003-2139
Phone (856) 751-0194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050426000964 NJ Practitioner - Clinical Social Worker 3971542325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1916 Marlton Pike E
Cherry Hill, NJ 08003-2139
Phone (856) 297-5043

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maxine W Butler LCSW LLC Clinical CurrentSince Feb 27, 2014 Accepting new patients

Locations

1916 Route 70 E
Ste 2
Cherry Hill, NJ 08003
Phone (856) 297-5043

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": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679629554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 MARLTON PIKE E",
            "address_2": "SUITE 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032139",
            "telephone_number": "856-751-0194",
            "fax_number": "856-751-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 MARLTON PIKE E",
            "address_2": "SUITE 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032139",
            "telephone_number": "856-751-0194",
            "fax_number": "856-751-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "MAXINE",
        "name_prefix": "Mrs.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00138900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.