Individual provider Active NPI

Nanci Ginty Butler, MSW, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1932246162
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
111700 Issued in MA
Practice address
300 Longwood Ave
Mailstop 306
Boston, MA 02115-5725
Phone
(857) 218-4303
Fax
(617) 730-0195
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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 111700 MA Primary

Addresses

Primary practice location

300 Longwood Ave
Mailstop 306
Boston, MA 02115-5725

Mailing address

300 Longwood Ave
Mailstop 306
Boston, MA 02115-5725
Phone (857) 218-4303

Other names 1

  • Nanci Ginty Butler Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200803002097 MA Practitioner - Clinical Social Worker 1355766601 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Children'S Hospital Pediatric Associates, Inc CurrentSince Jun 15, 2020 Accepting new patients
Riverside Community Care, Inc. PastSince Dec 17, 2017 Accepting new patients
Riverside Community Care Past Accepting new patients

Locations

300 Longwood Ave
Boston, MA 02115
Phone (617) 355-4956

300 Longwood Ave
#306
Boston, MA 02115
Phone (617) 355-7181

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1932246162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "MAILSTOP 306",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155725",
            "telephone_number": "857-218-4303",
            "fax_number": "617-730-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LONGWOOD AVE",
            "address_2": "MAILSTOP 306",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021155725",
            "telephone_number": "857-218-4303",
            "fax_number": "617-730-0195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GINTY BUTLER",
        "first_name": "NANCI",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "111700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCI",
            "last_name": "BUTLER",
            "middle_name": "GINTY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.