MICHELE BUTLER
NPI 1629881008
Social Worker - Clinical in Chicago, IL

Active since January 29, 2025PECOS Enrolled
1900 W POLK ST RM 7402, CHICAGO, IL 60612(708) 821-8731 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michele Butler NPPES

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

MICHELE BUTLER (NPI 1629881008) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149.026944) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1629881008
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICHELE BUTLER
Location Address1900 W POLK ST RM 7402Chicago, IL 60612-3723
Mailing Address1900 W Polk St Rm 7402Chicago, IL 60612-3723 · (708) 821-8731
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1629881008 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 IL · 149.026944
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 29639 (IL)
1900 W POLK ST RM 7402, Chicago, IL 60612

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele Butler is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880174390
PECOS Enrollment IDI20260213003863
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 Michele Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
605 S WOLCOTT AVE, SUITE 605
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group

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 60612 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 $60.08 – $183.39
Typical copayment $0.00 (range $15.02 – $45.84)
Most-billed visit code NA
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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 Michele Butler's NPI number?

The NPI number for Michele Butler is 1629881008. It was assigned to this individual provider in the NPPES registry on January 29, 2025.

Where is Michele Butler located?

Michele Butler practices at 1900 W Polk St Rm 7402, Chicago, IL 60612. The listed phone number is (708) 821-8731.

What is Michele Butler's specialty?

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

Is Michele Butler enrolled in Medicare?

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

Which organization bills Medicare for Michele Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Butler reassigns Medicare benefits to Cook County (Chicago, IL). 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 Michele Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michele Butler was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.