Mark Stanley Butkus, LCSW
Individual provider Active NPI Clinical Social Worker · Portland, ME
NPI 1861570293 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1861570293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LC21796 (ME)
- Practice address
- 53 Baxter Blvd Ste 3
Portland, ME 04101-1827 - Phone
- (603) 883-0005
- Fax
- (603) 883-0007
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC21796 | ME | MD | Clinical Social Worker |
| 007159 | SC | MD | Clinical Social Worker |
| 7159 | SC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Counseling Center of Nashua Inc | Clinical | Past |
Accepting new patients |
| University Specialty Clinics - Neuropsychiatry and Behavioral Science | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LC21796 | ME | Yes |
| Clinical Social Worker | 1041C0700X | 007159 | SC |
Addresses
Primary practice location
53 Baxter Blvd Ste 3
Portland, ME 04101-1827
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (603) 883-0005
Other practice location 1
2220 Lincoln St
Columbia, SC 29201-2045
Phone (803) 369-3743
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| QM0689 | Medicaid | SC |
Other providers in Portland, ME
- Danielle Burton
- Loren Bush
- Jacob Joseph Buskirk
- Sydney Ann Butalla
- Mary Buteyn
- Kelly Lynn Butler
- Allison L. Buttarazzi
- Christopher Mark Buttarazzi
- Matthew Samuel Buttarazzi
- Blue B Butterfield
All providers in Portland, ME · Clinical Social Worker in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.