Butler, Jody L

Butler, Jody L is an sole proprietor health care provider with primary practice located at 307 High St , Maryville TN 37804-5847. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Butler, Jody L can be contacted via phone (865) 386-4642.

Contact Information

Primary practice address
307 High St Maryville TN 37804-5847
Phone: (865) 386-4642
Fax: (865) 379-2869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LDC0000000268 Tennessee
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW0000004599 Tennessee

Profile Details

NPI number 1639148430
LBN Legal business name Butler, Jody L
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 15th, 2006
Last updated Oct 23rd, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639148430 NPPES
Tennessee Other LDC0000000268 STATE LICENSE
Tennessee Other LSW0000004599 STATE LICENSE

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