Butler, Jacqueline Denise
Butler, Jacqueline Denise is an sole proprietor health care provider with primary practice located at 522 S Independence Blvd Ste 105, Virginia Beach VA 23452-1149. She recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Case Management, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Butler, Jacqueline Denise can be contacted via phone (757) 456-9205.Contact Information
Primary practice address
522 S Independence Blvd Ste 105
Virginia Beach VA 23452-1149
Phone: (757) 456-9205
Fax: (757) 456-9209
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 0904006406 | Virginia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0904006406 | Virginia |
| Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | 0904006406 | Virginia |
| Behavioral Health & Social Service Providers / School | 101YS0200X | 0904006406 | Virginia |
| Behavioral Health & Social Service Providers / School | 101YS0200X | PPS-0600412 | Virginia |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 0904006406 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904006406 | Virginia |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0904006406 | Virginia |
| Agencies / Case Management | 251B00000X | 0904006406 | Virginia |
| Agencies / Community/Behavioral Health | 251S00000X | 090400640 | Virginia |
Profile Details
| NPI number | 1386782993 |
|---|---|
| LBN Legal business name | Butler, Jacqueline Denise |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2007 |
| Last updated | May 8th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386782993 | NPPES |
| Virginia | MEDICAID | 1386782993 |
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