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KIMBERLY CHRISTINE BUTORAC LSWAIC
NPI 1104475409
Social Worker - Clinical in Seattle, WA

Active since September 09, 2019PECOS Enrolled
2505 2ND AVE STE 200, SEATTLE, WA 98121(509) 939-1529 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 6, 2024, May 3, 2024, Feb 6, 2024 and 2 more (5 updates tracked since 2019).

About Kimberly Christine Butorac Lswaic NPPES

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

KIMBERLY CHRISTINE BUTORAC LSWAIC (NPI 1104475409) is an individual clinical provider in Seattle, Washington, licensed in Washington (LW61505219) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104475409
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY CHRISTINE BUTORACCredential: LSWAIC
Location Address2505 2ND AVE STE 200Seattle, WA 98121-1495
Mailing AddressPo Box 50095Seattle, WA 98145-5095
Phone(509) 939-1529
Sole ProprietorNo
Enumeration DateSeptember 9, 2019
Last NPPES UpdateJune 6, 20245 updates tracked since enumeration
NPPES CertifiedJune 6, 2024
✔ NPI 1104475409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in WA · LW61505219
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.
Also ListedSocial WorkerTaxonomy 104100000X · License SC61234589 (WA)
2505 2ND AVE STE 200, Seattle, WA 98121
Open in Google Maps ↗

Secondary Practice Locations 2

Location 16400 Southcenter BlvdTukwila, WA 98188-2547 · Phone (206) 901-2000
Location 29600 Veterans Dr SWTacoma, WA 98493 · Phone (253) 582-8440

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Christine Butorac Lswaic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kimberly Butorac reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Association Of University Physicians
1.1 mi
Anesthesiology
701 5TH AVE, SUITE 700
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 4,364 clinicians in this Medicare group
NPI 1023041159 (206) 543-6420

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98121 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 $63.67 – $189.37
Typical copayment $0.00 (range $15.91 – $47.34)
Most-billed visit code NA
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. KRYSTA ROSE CARRICK BYRNES RN
Nurse Practitioner (Family)
2505 2ND AVE STE 200
SEATTLE, WA 98121
King County (206) 520-5000
KASEY JANE SILVER ARNP
Nurse Practitioner (Family)
2505 2ND AVE STE 200
SEATTLE, WA 98121
King County (206) 520-5000
ADAM MICHAEL JAYNE-JENSEN MD
Internal Medicine
2505 2ND AVE STE 200
SEATTLE, WA 98121
King County (206) 443-0400
KARA A MCKAY DNP, ARNP
Nurse Practitioner (Family)
2505 2ND AVE STE 200
SEATTLE, WA 98121
King County (206) 443-0400
CAROLYN HOUK M.D.
Internal Medicine
2505 2ND AVE STE 200
SEATTLE, WA 98121
King County (206) 520-5000
HARSHITA GABA MD
Student in an Organized Health Care Education/Training Program
2505 2ND AVE STE 200
SEATTLE, WA 98121
King County (206) 443-0400
DIVYA TAKKELLAPATI MD
Internal Medicine
2505 2ND AVE STE 200
SEATTLE, WA 98121
King County (206) 520-5000
WILLIAM HAMBLIN SCHIFELING MD
Family Medicine
2505 2ND AVE STE 200
SEATTLE, WA 98121
King County (206) 520-5000

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 Kimberly Butorac's NPI number?

The NPI number for Kimberly Butorac is 1104475409. It was assigned to this individual provider in the NPPES registry on September 9, 2019.

Where is Kimberly Butorac located?

Kimberly Butorac practices at 2505 2nd Ave Ste 200, Seattle, WA 98121. The listed phone number is (509) 939-1529.

What is Kimberly Butorac's specialty?

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

Is Kimberly Butorac enrolled in Medicare?

Yes. Kimberly Butorac is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kimberly Butorac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kimberly Butorac reassigns Medicare benefits to The Association Of University Physicians (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kimberly Butorac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kimberly Butorac accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kimberly Butorac as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Butorac was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.