Active NPI
Abby Butler, LCSW
- Clinical Social Worker
- Fleming Island, FL
National Provider Identifier
1811246960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW5062
- Practice address
- 1531 Rivertrace Dr
Fleming Island, FL 32003-7778 - Phone
- (904) 477-7320
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW5062 | FL | Primary |
Addresses
Primary practice location
1531 Rivertrace Dr
Fleming Island, FL 32003-7778
Mailing address
1531 Rivertrace Dr
Fleming Island, FL 32003-7778
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 |
|---|---|---|---|
| SW5062 | FL | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346803200000",
"number": "1811246960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1531 RIVERTRACE DR",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320037778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1531 RIVERTRACE DR",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320037778",
"telephone_number": "904-477-7320"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "ABBY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2012-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW5062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fleming Island, FL
- Brittany Alexander Bunn, ARNP
- Ashley Ann Burgholzer, RDH
- Kristen Burgstiner, APRN
- Heather Brooks Burson, APRN, PMHNP-BC
- Angela C Busch-Doble, D.O.
- By Your Side Senior Care
- Pam Callan, ARNP
- Alexa Marie Campbell, PHARMD
- Cancer Specialists, LLC (Cancer Specialists of North Florida)
- Michelle I Cannon, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.