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LATEISHA BUTLER LCSW
NPI 1124421367
Social Worker - Clinical in Bowling Green, KY

Active since October 02, 2014PECOS EnrolledAccepts Medicare Assignment
2530 SCOTTSVILLE RD STE 22, BOWLING GREEN, KY 42104(270) 599-0847(270) 418-3329 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 3, 2022, Jul 16, 2021, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Lateisha Butler Lcsw NPPES

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

LATEISHA BUTLER LCSW (NPI 1124421367) is an individual clinical provider in Bowling Green, Kentucky, licensed in Kentucky (252900) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1124421367
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameLATEISHA BUTLERCredential: LCSW
Location Address2530 SCOTTSVILLE RD STE 22Bowling Green, KY 42104-6509
Mailing Address2530 Scottsville Rd Ste 22Bowling Green, KY 42104-6509 · (270) 599-0847 · Fax (270) 418-3329
Phone(270) 599-0847
Fax(270) 418-3329
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 2, 2014
Last NPPES UpdateSeptember 24, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 24, 2025
✔ NPI 1124421367 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 KY · 252900
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.
2530 SCOTTSVILLE RD STE 22, Bowling Green, KY 42104
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Other Identifiers 1

Medicaid7100487730KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lateisha 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 ID840565941
PECOS Enrollment IDI20170928003132
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 Lateisha Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dove Healing Center LLC
Same address
Clinical
2530 SCOTTSVILLE RD STE 22
Bowling Green, KY 42104
  • Reassigned Medicare billing, Kentucky enrollment
NPI 1346950557 (270) 599-0847

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 42104 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 $52.76 – $162.27
Typical copayment $0.00 (range $13.19 – $40.56)
Most-billed visit code NA
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
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 3

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

THE LUNA THERAPY & WELLNESS CENTER
Social Worker (Clinical)
2530 SCOTTSVILLE RD STE 22
BOWLING GREEN, KY 42104
Warren County (270) 864-6872
DOVE HEALING CENTER LLC
Social Worker (Clinical)
2530 SCOTTSVILLE RD STE 22
BOWLING GREEN, KY 42104
Warren County (270) 599-0847
ELIJAH THOMAS JAMES YOUNG
Counselor (Professional)
2530 SCOTTSVILLE RD STE 22
BOWLING GREEN, KY 42104
Warren County (270) 599-0589

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 Lateisha Butler's NPI number?

The NPI number for Lateisha Butler is 1124421367. It was assigned to this individual provider in the NPPES registry on October 2, 2014.

Where is Lateisha Butler located?

Lateisha Butler practices at 2530 Scottsville Rd Ste 22, Bowling Green, KY 42104. The listed phone number is (270) 599-0847.

What is Lateisha Butler's specialty?

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

Is Lateisha Butler enrolled in Medicare?

Yes. Lateisha 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.

Which organization bills Medicare for Lateisha Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lateisha Butler reassigns Medicare benefits to Dove Healing Center LLC (Bowling Green, KY). 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 Lateisha Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lateisha Butler accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Lateisha Butler 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 Lateisha Butler was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.