Active NPI
Craig C Butler, LISW
- Clinical Social Worker
- Rock Hill, SC
National Provider Identifier
1841294170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 5558
- Practice address
- 234 E Main St
Rock Hill, SC 29730-4542 - Phone
- (803) 366-5445
- Fax
- (803) 817-9931
- NPI assigned
- May 23, 2005
- Last updated
- Jan 9, 2008
- Sex
- Male
- 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 | 5558 | SC | Primary |
Addresses
Primary practice location
234 E Main St
Rock Hill, SC 29730-4542
Mailing address
234 E Main St
PO Box 1011
Rock Hill, SC 29730-4542
Phone (803) 366-5445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QM0346 | Medicaid | SC |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5558 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Daniel Pistone MD PA | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Conway, SC
- NPI 1801876446
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199836800000",
"number": "1841294170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 E MAIN ST",
"address_2": "PO BOX 1011",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297304542",
"telephone_number": "803-366-5445",
"fax_number": "803-817-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 E MAIN ST",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297304542",
"telephone_number": "803-366-5445",
"fax_number": "803-817-9931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTLER",
"first_name": "CRAIG",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2008-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "5558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "QM0346",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.