Butler, Jacqueline Denise

Butler, Jacqueline Denise is an sole proprietor health care provider with primary practice located at 900 Commonwealth Pl Ste 232 , Virginia Beach VA 23464-4517. She recently has 9 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Agencies / Case Management, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Butler, Jacqueline Denise can be contacted via phone (757) 456-9205.

Contact Information

Primary practice address
900 Commonwealth Pl Ste 232 Virginia Beach VA 23464-4517
Phone: (757) 456-9205
Fax: (757) 456-9209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 090400640 Virginia
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0904006406 Virginia
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0904006406 Virginia
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 0904006406 Virginia
Behavioral Health & Social Service Providers / Pastoral 101YP1600X 0904006406 Virginia
Behavioral Health & Social Service Providers / School 101YS0200X 0904006406 Virginia
Behavioral Health & Social Service Providers / School 101YS0200X PPS-0600412 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0904006406 Virginia
Agencies / Case Management 251B00000X 0904006406 Virginia
Behavioral Health & Social Service Providers / Social Worker 104100000X 0904006406 Virginia

Profile Details

NPI number 1386782993
LBN Legal business name Butler, Jacqueline Denise
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2007
Last updated Dec 20th, 2024 - about 2 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 1386782993 NPPES
Virginia MEDICAID 1386782993

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