Organization Active NPI

Kristine Butler, LCSW, PA

  • Clinical Social Worker
  • Brandon, FL
National Provider Identifier
1851715759
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW6523 Issued in FL
Legal business name
KRISTINE BUTLER, LCSW, PA
Practice address
509 Wilbur St
Brandon, FL 33511-5323
Phone
(813) 689-0139
NPI assigned
Feb 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Kristine Idonna Butler, LCSW
Title
Owner
Phone
(813) 689-0139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW6523 FL Primary

Addresses

Primary practice location

509 Wilbur St
Brandon, FL 33511-5323

Mailing address

509 Wilbur St
Brandon, FL 33511-5323
Phone (813) 689-0139

National Provider Directory

National Provider Directory

Locations

509 Wilbur St
Brandon, FL 33511
Phone (813) 382-8684

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1851715759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 WILBUR ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115323",
            "telephone_number": "813-689-0139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 WILBUR ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115323",
            "telephone_number": "813-689-0139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTINE BUTLER, LCSW, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "IDONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-689-0139",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW6523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.