Individual provider · Type 1 NPI

Tatavia Butler, LCSW

Clinical Social Worker · Stockton, CA

NPI number 1629311394 Active · reactivated Oct 27, 2022

Practice location

7707 South Austin Rd
Stockton, CA 95215-8312

Fax (818) 570-6752

Mailing address

PO Box 3245
Hayward, CA 94540-3245

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X101952 (CA)

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 1629311394

Tatavia Butler, LCSW's National Provider Identifier is 1629311394, issued on Apr 1, 2013. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Stockton, CA. The record was last updated on Oct 27, 2022.