Christa Kay Butcher, LCSW
Individual provider Active NPI Clinical Social Worker · Paintsville, KY
NPI 1972115699 · NPPES record last updated Apr 29, 2021
Key facts
- NPI
- 1972115699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 255100 (KY)
- Practice address
- 851 S Mayo TRL
Paintsville, KY 41240-1215 - Phone
- (606) 372-2767
- Fax
- (606) 372-2768
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 8057 | TN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 255100 | KY | Yes |
Addresses
Primary practice location
851 S Mayo TRL
Paintsville, KY 41240-1215
Mailing address
851 S Mayo TRL
Paintsville, KY 41240-1215
Phone (606) 372-2767
Other practice location 1
9910 rt 581
River, KY 41254
Phone (606) 297-1037
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100697830 | Medicaid | KY |
Other providers in Paintsville, KY
- Andrew Brown
- Gary D. Brown
- Don Victor Bryson
- Nicole Burchett
- Kari Nicole Burt
- Stacy Ann Butcher
- Lisa C Cain
- Jordan Caldwell
- Jessica Lynne Campbell
- Dinah F. Cantrell
All providers in Paintsville, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2021. 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.