Robert O Butler is a Clinical in Petaluma, California. Robert O Butler practices all healthcare services and medical treatments related to Clinical. The NPI Number for Robert O Butler is 1093718454. The last update date is 2023-06-30.
Robert O Butler's current location address is 40 4th St, Petaluma, California. You can contact this provider via phone number 7075824975 and fax number 7077633920. The mailing address for Robert O Butler is 40 4th St, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert O Butler |
|---|---|
| Address | 40 4th St, Petaluma, California |
| Phone Number | 7075824975 |
| Fax Number | 7077633920 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1093718454 |
|---|---|
| Provider Enumeration Date | 2005-05-31 |
| Last Updated Date | 2023-06-30 |
Provider Mailing Address Detail
| Address | 40 4th St |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 9495230400 |
| Phone Number | 7075824975 |
| Fax Number | 7077633920 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LCS7338 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC70957F | CA | -- | |
| FHC03887F | CA | -- | |
| 1598786352 | CA | -- | |
| 1356344758 | CA | -- |
Post Comment/ Review Below
What is the Robert O Butler's unique identification number?
The Robert O Butler has been assigned the NPI (National Provider Identifier) Number 1093718454 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Robert O Butler is physically located?
The Robert O Butler is situated at the following address: 40 4Th St, Petaluma, CA 9495230400.
What is Robert O Butler's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Robert O Butler is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date did the Robert O Butler receive the assignment of its 1093718454 from the Centers for Medicare & Medicaid Services?
The Robert O Butler was issued its 1093718454 by the Centers for Medicare & Medicaid Services on 2005-05-31.
When was the information regarding Robert O Butler most recently updated?
The details pertaining to the Robert O Butler, including its address, specialty, and other relevant information, were last refreshed on 2023-06-30.