Individual provider Active NPI

Patricia Joann Butera, MSW LCSW

  • Clinical Social Worker
  • Houston, TX
National Provider Identifier
1700975257
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03995 Issued in TX
Practice address
1801 Lexington St
Houston, TX 77098
Phone
(713) 524-0142
Fax
(713) 524-7885
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

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 03995 TX Primary

Addresses

Primary practice location

1801 Lexington St
Houston, TX 77098

Mailing address

1801 Lexington St
Houston, TX 77098
Phone (713) 524-0142

Other identifiers 1

IdentifierTypeStateIssuer
SW00S48K2MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20101022000664 TX Practitioner - Clinical Social Worker 2264625268 Practice locations: Houston, TX

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1801 Lexington St
Houston, TX 77098-4303
Phone (713) 524-0142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
03995TXMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michael J. & Joann Butera Inc. Clinical Past Accepting new patients

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700975257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 LEXINGTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77098",
            "telephone_number": "713-524-0142",
            "fax_number": "713-524-7885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 LEXINGTON ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77098",
            "telephone_number": "713-524-0142",
            "fax_number": "713-524-7885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTERA",
        "first_name": "PATRICIA",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "03995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SW00S48K2",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.