Michaelan Mercedes Butt, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34011346A Issued in IN

Practice address

1713 E 10TH St
Jeffersonville, IN 47130-7100

Phone

(812) 258-0310

NPI assigned

Aug 21, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Katie Mercedes Butt Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1922831486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307100",
            "telephone_number": "812-258-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 E 10TH ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471307100",
            "telephone_number": "812-258-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTT",
        "first_name": "MICHAELAN",
        "middle_name": "MERCEDES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011346A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "BUTT",
            "middle_name": "MERCEDES",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brittany Burtraw, MSW
• William Cooper Buschemeyer Jr., M.D.
• Andrea Butcher, RBT
• Robyn Nicole Butler, MSOT, OTR
• Mercedes Butner
• Breanna Byrne, RBT
• Gracie Jean Byrum, PT DPT
• Megan Rebecca Cade, LSW
• Courtney Caffrey
• Miracris Pagulayan Calilung, NP

• Clinical Social Worker in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.