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MR. ROBERT O BUTLER LCSW
NPI 1093718454
Social Worker - Clinical in Petaluma, CA

Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
40 4TH ST STE 224, PETALUMA, CA 94952(707) 241-3003 Get Directions Write a Review

NPPES record last updated: May 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 11, 2025, May 17, 2021 (2 updates tracked since 2021).

About Mr. Robert O Butler Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ROBERT O BUTLER LCSW (NPI 1093718454) is an individual clinical provider in Petaluma, California, licensed in California (LCS7338) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (1977).

NPPES Registry Identity

NPI1093718454
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ROBERT O BUTLERCredential: LCSW
Location Address40 4TH ST STE 224Petaluma, CA 94952-3040
Mailing Address40 4th St, Ste. 224Petaluma, CA 94952-3040 · (707) 241-3003
Phone(707) 241-3003
Sole ProprietorNo
Medical School CMSOtherGraduated 1977
Enumeration DateMay 31, 2005
Last NPPES UpdateMay 11, 20252 updates tracked since enumeration
NPPES CertifiedMay 11, 2025
✔ NPI 1093718454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · LCS7338
Definition
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.
40 4TH ST STE 224, Petaluma, CA 94952
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Secondary Practice Locations 4

Location 12455 Bennett Valley Rd Ste C210, #224Santa Rosa, CA 95404-5671 · Phone (707) 523-8009
Location 22455 Bennett Valley Rd Ste C210Santa Rosa, CA 95404-5671 · Phone (707) 523-8009
Location 3222 Weller St Ste 208Petaluma, CA 94952-7108 · Phone (707) 523-8009 · Fax (707) 523-8009
Location 41 Bodega Ave Ste 4Petaluma, CA 94952-2672 · Phone (707) 241-3003

Other Identifiers 4

MedicaidFHC03887FCA
Medicaid1356344758CA
Medicaid1598786352CA
MedicaidFHC70957FCA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Robert O Butler Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8527002724
PECOS Enrollment IDI20050617001007
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.04 – $187.01
Typical copayment $0.00 (range $15.76 – $46.75)
Most-billed visit code NA
Established Patient
$77.94 typical visit price
range $21.02 – $153.40
Typical copayment $19.48 (range $5.25 – $38.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Butler's NPI number?

The NPI number for Robert Butler is 1093718454. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Robert Butler located?

Robert Butler practices at 40 4th St Ste 224, Petaluma, CA 94952. The listed phone number is (707) 241-3003.

What is Robert Butler's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Robert Butler enrolled in Medicare?

Yes. Robert Butler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Robert Butler was last updated on May 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.