Active NPI
Carmen Lynn Butcher-Houston, LSWAIC
- Clinical Social Worker
- Vancouver, WA
National Provider Identifier
1982236634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC60947650
- Practice address
- 1601 E Fourth Plain Blvd # A152
Vancouver, WA 98661-3713 - Phone
- (360) 397-8198
- Fax
- (360) 397-8276
- NPI assigned
- Feb 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SC60947650 | WA | Primary |
Addresses
Primary practice location
1601 E Fourth Plain Blvd # A152
Vancouver, WA 98661-3713
Mailing address
300 SE 184TH Ave # C32
Vancouver, WA 98683-1928
Phone (503) 890-4656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1079492 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | carmen.butcher-houston@wa.clark.gov | Direct | Clark County |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC60947650 | WA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1982236634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SE 184TH AVE # C32",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986831928",
"telephone_number": "503-890-4656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E FOURTH PLAIN BLVD # A152",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613713",
"telephone_number": "360-397-8198",
"fax_number": "360-397-8276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUTCHER-HOUSTON",
"first_name": "CARMEN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LSWAIC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-11",
"last_updated": "2023-11-27",
"certification_date": "2020-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC60947650",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1079492",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "carmen.butcher-houston@wa.clark.gov",
"affiliation": "Y",
"endpointDescription": "Clark County Crisis Services email address",
"affiliationName": "Clark County",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Other",
"address_1": "1601 NE 4th Plain Blvd",
"address_2": "Bldg. #17 Ste. A-150",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "98661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.