Organization Active NPI

Maxine W Butler LCSW LLC

  • Clinical Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1942540992
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00138900 Issued in NJ
Legal business name
MAXINE W BUTLER LCSW LLC
Practice address
1916 Marlton Pike E
Suite Two
Cherry Hill, NJ 08003-2139
Phone
(856) 751-0194
Fax
(856) 751-6201
NPI assigned
Feb 27, 2013
Organization subpart
Yes
Parent organization
MAXINE W BUTLER LCSW LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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

Authorized official

Name
Mrs. Maxine W Butler, LCSWNPI 1679629554
Title
Owner
Phone
(856) 751-0194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 44SC00138900 NJ Primary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X 37F100122700 NJ

Addresses

Primary practice location

1916 Marlton Pike E
Suite Two
Cherry Hill, NJ 08003-2139

Mailing address

1916 Marlton Pike E
Suite Two
Cherry Hill, NJ 08003-2139
Phone (856) 751-0194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140528001063 NJ Part B Supplier - Clinic/Group Practice 6507089224 Receives reassigned benefits from 1 practitioner
Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory
Part of
Maxine W Butler LCSW LLC

Locations

1916 Route 70 E
Ste 2
Cherry Hill, NJ 08003
Phone (856) 297-5043

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1942540992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 MARLTON PIKE E",
            "address_2": "SUITE TWO",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032139",
            "telephone_number": "856-751-0194",
            "fax_number": "856-751-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 MARLTON PIKE E",
            "address_2": "SUITE TWO",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032139",
            "telephone_number": "856-751-0194",
            "fax_number": "856-751-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXINE W BUTLER LCSW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAXINE W BUTLER LCSW LLC",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "BUTLER",
        "authorized_official_first_name": "MAXINE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-751-0194",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00138900",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37F100122700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.