Mrs Jacqueline Denise Butler, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Virginia Beach, Virginia. She graduated from healthcare school in 1997 and has 27 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
522 S Independence Blvd, Ste 105, Virginia Beach, Virginia. You can reach out to her office (for appointments etc.) via phone at
(757) 456-9205.
Mrs Jacqueline Denise Butler is licensed to practice in Virginia (license number 0904006406) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386782993.
Healthcare Provider's Profile
Full Name | Mrs Jacqueline Denise Butler |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 27 Years |
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Location | 522 S Independence Blvd, Virginia Beach, Virginia |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Jacqueline Denise Butler graduated from medical school in 1997
NPI Data:
- NPI Number: 1386782993
- Provider Enumeration Date: 02/03/2007
- Last Update Date: 05/08/2012
Medicare PECOS Information:
- PECOS PAC ID: 3870680945
- Enrollment ID: I20071106000691
Medical Identifiers
Medical identifiers for Mrs Jacqueline Denise Butler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386782993 | NPI | - | NPPES |
1386782993 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 0904006406 (Virginia) | Secondary |
101YM0800X | Counselor - Mental Health | 0904006406 (Virginia) | Secondary |
101YP1600X | Counselor - Pastoral | 0904006406 (Virginia) | Secondary |
101YS0200X | Counselor - School | 0904006406 (Virginia) | Secondary |
101YS0200X | Counselor - School | PPS-0600412 (Virginia) | Secondary |
104100000X | Social Worker | 0904006406 (Virginia) | Secondary |
1041C0700X | Social Worker - Clinical | 0904006406 (Virginia) | Primary |
106H00000X | Marriage & Family Therapist | 0904006406 (Virginia) | Secondary |
251B00000X | Case Management | 0904006406 (Virginia) | Secondary |
251S00000X | Community/behavioral Health | 090400640 (Virginia) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jacqueline Denise Butler allows following entities to bill medicare on her behalf.
Entity Name | Christian Psychotherapy Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437247723 PECOS PAC ID: 8820986953 Enrollment ID: O20040309001135 |
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Entity Name | Visions Of Tomorrow, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215128467 PECOS PAC ID: 2466591714 Enrollment ID: O20091130000606 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jacqueline Denise Butler is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Jacqueline Denise Butler, LCSW Po Box 62331, Virginia Beach, VA 23466-2331 Ph: (757) 456-9205 | Mrs Jacqueline Denise Butler, LCSW 522 S Independence Blvd, Ste 105, Virginia Beach, VA 23452-1149 Ph: (757) 456-9205 |
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