Individual provider Active NPI

Craig C Butler, LISW

  • Clinical Social Worker
  • Rock Hill, SC
National Provider Identifier
1841294170
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5558 Issued in SC
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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 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

IdentifierTypeStateIssuer
QM0346MedicaidSC

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

LicenseStateTypeSpecialty
5558SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.