Individual provider · Type 1 NPI

Roeathea Butler, LICSW, LCSW-C

Clinical Social Worker · Largo, MD

NPI number 1396933404 Active

Practice location

1300 Mercantile Ln Ste 129-62
Largo, MD 20774-5327

Mailing address

307 Zelma Ave
Capitol Heights, MD 20743-3124

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XLC50078194 (DC)
Clinical Social Worker Primary 1041C0700X13408 (MD)

Clinical Social Worker: 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1396933404

Roeathea Butler, LICSW, LCSW-C's National Provider Identifier is 1396933404, issued on Oct 15, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Largo, MD. The record was last updated on Jan 2, 2020.