Sean Butler

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904011521 Issued in VA

Practice address

1519 Market St
Pocomoke City, MD 21851-1711

Phone

(757) 891-5871

NPI assigned

Aug 25, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, VA, PA, NJ, DC, DE6 enrollments

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 6

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

The Calm Space LLCGroup PAC ID 3274952163, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sean.butler.1@33682.direct.athenahealth.com

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  MD

  Medicare reassignment Care Compare group NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  MD, VA

  Medicare reassignment Care Compare group NPD
• The Calm Space LLC

  • Professional Counselor
  • Allentown, PA
  • NPI 1174134191

  Clinical

  Medicare reassignment Care Compare group NPD
• Care Counseling & Children'S Services LLC

  • Clinic/Center
  • Whitehall, PA
  • NPI 1811514417
  Medicare reassignment NPD
• Grow Healthcare Group of New Jersey PC

  • Mental Health Counselor
  • Hoboken, NJ
  • NPI 1841949328

  Clinical

  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, DC, DE, PA

  Medicare reassignment NPD
• Sondermind, P.a.

  • Clinical Social Worker
  • Wichita, KS
  • NPI 1710647581

  PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1770039273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4098 MAIN ST STE 9",
            "city": "CHINCOTEAGUE",
            "state": "VA",
            "postal_code": "233362466",
            "telephone_number": "757-891-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 MARKET ST",
            "city": "POCOMOKE CITY",
            "state": "MD",
            "postal_code": "218511711",
            "telephone_number": "757-891-5871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4098 Main St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Chincoteague",
            "state": "VA",
            "postal_code": "233362466",
            "country_code": "US",
            "telephone_number": "757-891-5871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "SEAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "22509",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904011521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "614064500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Heron Medical Group LLC
• Blue Wave Counseling & Psychotherapy LLC
• Lauren Bozman, PHARMD
• Carolyn Bridson, PTA
• Sarah Schiffer Butler
• Victoria Grace Bynum, LMSW
• Marie Carnes, CRNP
• Christie Marie Chmar, RN
• Monica Surran Christopher, LCSW-C
• Ronnie Mashette Clark, CRNP

• Clinical Social Worker in Pocomoke City, MD
• Providers in Pocomoke City, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.