| Maxine W Butler Lcsw Llc | |
|
1916 Marlton Pike E Suite Two Cherry Hill NJ 08003-2139 | |
| (856) 751-0194 | |
| (856) 751-6201 |
| Full Name | Maxine W Butler Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1916 Marlton Pike E, Cherry Hill, New Jersey |
| Authorized Official Name and Position | Maxine W Butler (OWNER) |
| Authorized Official Contact | 8567510194 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxine W Butler Lcsw Llc 1916 Marlton Pike E Suite Two Cherry Hill NJ 08003-2139 Ph: (856) 751-0194 | Maxine W Butler Lcsw Llc 1916 Marlton Pike E Suite Two Cherry Hill NJ 08003-2139 Ph: (856) 751-0194 |
| NPI Number | 1942540992 |
|---|---|
| Provider Enumeration Date | 02/27/2013 |
| Last Update Date | 02/27/2013 |
| Medicare PECOS PAC ID | 6507089224 |
|---|---|
| Medicare Enrollment ID | O20140528001063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942540992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 44SC00138900 (New Jersey) | Primary |
| 106H00000X | Marriage & Family Therapist | 37F100122700 (New Jersey) | Secondary |
| Provider Name | Maxine W Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679629554 PECOS PAC ID: 3971542325 Enrollment ID: I20050426000964 |
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