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TATAVIA BUTLER LCSW
NPI 1629311394
Social Worker - Clinical in Stockton, CA

Active since April 01, 2013PECOS Enrolled
7707 SOUTH AUSTIN RD, STOCKTON, CA 95215(818) 570-6752(818) 570-6752 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tatavia Butler Lcsw NPPES

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

TATAVIA BUTLER LCSW (NPI 1629311394) is an individual clinical provider in Stockton, California, licensed in California (101952) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629311394
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameTATAVIA BUTLERCredential: LCSW
Location Address7707 SOUTH AUSTIN RDStockton, CA 95215-8312
Mailing AddressPo Box 3245Hayward, CA 94540-3245 · (405) 431-0833
Phone(818) 570-6752
Fax(818) 570-6752
Sole ProprietorNo
Enumeration DateApril 1, 2013
Last NPPES UpdateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
✔ NPI 1629311394 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 · 101952
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.
7707 SOUTH AUSTIN RD, Stockton, CA 95215
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tatavia Butler Lcsw 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95215 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 $58.87 – $176.60
Typical copayment $0.00 (range $14.71 – $44.15)
Most-billed visit code NA
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 Tatavia Butler's NPI number?

The NPI number for Tatavia Butler is 1629311394. It was assigned to this individual provider in the NPPES registry on April 1, 2013.

Where is Tatavia Butler located?

Tatavia Butler practices at 7707 South Austin Rd, Stockton, CA 95215. The listed phone number is (818) 570-6752.

What is Tatavia Butler's specialty?

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

Is Tatavia Butler enrolled in Medicare?

Yes. Tatavia Butler is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tatavia Butler was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.