IDELLE BUTLER SHANE MSW BCD LCSW
NPI 1275663114
Specialist in Galesburg, IL

Active since March 07, 2007
311 E MAIN ST STE 604, GALESBURG, IL 61401(309) 341-2727 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Idelle Butler Shane Msw Bcd Lcsw NPPES

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

IDELLE BUTLER SHANE MSW BCD LCSW (NPI 1275663114) is an individual specialist in Galesburg, Illinois and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1275663114
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameIDELLE BUTLER SHANECredential: MSW BCD LCSW
Location Address311 E MAIN ST STE 604Galesburg, IL 61401-4882
Mailing Address311 E. Main St. Ste.604Galesburg, IL 61401-4855 · (309) 342-2727
Sole ProprietorYes
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1275663114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
311 E MAIN ST STE 604, Galesburg, IL 61401

Other Names 1

Other Name (5)Idelle Butler Bcd

Other Identifiers 1

Other002425IL · Board Cert Diplomate

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 Idelle Shane's NPI number?

The NPI number for Idelle Shane is 1275663114. It was assigned to this individual provider in the NPPES registry on March 7, 2007. The provider is also known as Idelle Butler Bcd.

Where is Idelle Shane located?

Idelle Shane practices at 311 E Main St Ste 604, Galesburg, IL 61401. The listed phone number is (309) 341-2727.

What is Idelle Shane's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Idelle Shane was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.