PATRICE IVORY-BUTLER (NPI# 1326414707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326414707 |
| Entity Type | Individual |
| Full Name | PATRICE IVORY-BUTLER |
| Credential | LLMSW |
| Practice Address |
1615 N Kenmore St South Bend IN 46628-4256 |
| Mailing Address |
Po Box 4256 South Bend IN 46634-4256 |
| Practice Telephone | 5743863374 |
| Mailing Telephone | 5743863374 |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801098518 | MI | Behavioral Health & Social Service Providers |
| Street Address |
1615 N KENMORE ST |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46628-4256 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700419249 | Mahogany Maternity | Doula | 22500 Lincoln Way West, South Bend, IN 46628 | 2020-02-12 |
| 1093126120 | Julie Collier | Pharmacist | 3600 Northportage Road, South Bend, IN 46628 | 2014-05-12 |
| 1588075717 | J Curylo | Pharmacist | 3600 N Portage Rd, South Bend, IN 46628 | 2014-05-09 |
| 1609287986 | Thomas Daniels | Pharmacist | 3600 North Portage Rd., South Bend, IN 46628 | 2014-05-08 |
| 1639467277 | United Seating and Mobility LLC | Durable Medical Equipment & Medical Supplies | 3371 Cleveland Rd Ste 310, South Bend, IN 46628 | 2011-07-18 |
| 1497891014 | Danielle Colleen Luten | Homemaker | 1830 N Brookfield, South Bend, IN 46628 | 2007-01-30 |
| 1700885498 | Stephen D Kennedy | Family Medicine | 5838 W Brick Rd Ste 106, South Bend, IN 46628 | 2005-07-15 |
| 1205440666 | Kristin Lynette Stringer | Registered Nurse | 53174 Flowing Stream Ct, South Bend, IN 46628 | 2020-09-03 |
| 1033489844 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 3600 Portage Rd, South Bend, IN 46628 | 2012-01-10 |
| 1467687277 | Leah Diane Craft | Family Medicine | 2235 Cleveland Rd, South Bend, IN 46628 | 2009-05-22 |
| Find all providers in zip 46628 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508330754 | Emily Wynn Sussman | Social Worker | 227 N Dixie Way Ste 125, South Bend, IN 46637-3385 | 2019-01-21 |
| 1043622798 | Susan Gail Sandock | Social Worker | 919 E Jefferson Blvd Ste 401, South Bend, IN 46617-3117 | 2014-05-29 |
| 1902248032 | Melissa Ann Sluiter | Social Worker | 3901 Addison St, South Bend, IN 46614-2603 | 2013-07-17 |
| 1750642732 | Rosemary Cox | Social Worker | 534 N Michigan St, South Bend, IN 46601-1032 | 2012-06-06 |
| 1760753909 | Jody L. Hughes LLC | Social Worker | 202 S. Michigan St, Suite 875, South Bend, IN 46601-2021 | 2012-01-19 |
| 1538441571 | Heidi Wringer, Lcsw Moving Forward Counseling Services | Social Worker | 227 N Dixie Way Ste 130, South Bend, IN 46637-3300 | 2011-09-15 |
| 1861788879 | Lynne Walker | Social Worker | 315 W Jefferson Blvd, South Bend, IN 46601-1512 | 2011-06-28 |
| 1801192026 | Wetzel Therapy Inc | Social Worker | 17903 State Road 23, Suite #3, South Bend, IN 46635-1642 | 2011-02-05 |
| 1659695542 | Marianne V West | Social Worker | 219 N Dixie Way Ste 135, South Bend, IN 46637-3372 | 2010-03-21 |
| 1740432574 | Amanda Jayne Quicksall | Social Worker | 611 Lincolnway W, South Bend, IN 46601 | 2008-10-10 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46628 |
Please comment or provide details below to improve the information on PATRICE IVORY-BUTLER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.