Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TATAVIA BUTLER, LCSW
DeactivatedTATAVIA BUTLER, LCSW is a Clinical Social Worker healthcare provider located in STOCKTON, California. NPI 1629311394 is deactivated in the NPPES registry. Verify at CMS.
Clinical Social Worker · STOCKTON, CA
This NPI has been deactivated.
The record was deactivated on October 19, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1629311394
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 1, 2013 (9.5506849315068 yrs)
- Last Updated
- Oct 27, 2022
- Deactivated
- Oct 19, 2022
- License
-
101952 (CA)
Practice Information
- Address
-
7707 SOUTH AUSTIN RDSTOCKTON, CA, 952158312Browse CA providers · Browse ZIP 95215
- Phone
- 8185706752
- Fax
- 8185706752
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in STOCKTON, CA
| Name | Credential | NPI |
|---|---|---|
| MR. MANOJ VIRENDRA PERERA | MSW, LCSW | 1568470946 |
| MS. CAROLYN J POMETTA | LCSW | 1043316326 |
| MS. SUZANNE LORENZ | LCSW | 1174616445 |
| MR. WILTON JAN WIELENGA | LCSW | 1528126703 |
| MR. ALEJO CASTILLON II | LCSW | 1386704286 |
| MRS. ALICE ELAINE MCNALLY | LCSW | 1245391713 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.