SEAN BUTLER
NPI 1770039273
Social Worker - Clinical in Pocomoke City, MD

Active since August 25, 2016PECOS EnrolledAccepts Medicare Assignment
1519 MARKET ST, POCOMOKE CITY, MD 21851(757) 891-5871 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 10, 2022, Feb 3, 2021, Dec 17, 2020 and 9 more (12 updates tracked since 2016).

About Sean Butler NPPES

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

SEAN BUTLER (NPI 1770039273) is an individual clinical provider in Pocomoke City, Maryland, licensed in Virginia (0904011521) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Chincoteague, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1770039273
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameSEAN BUTLER
Location Address1519 MARKET STPocomoke City, MD 21851-1711
Mailing Address4098 Main St Ste 9Chincoteague, VA 23336-2466 · (757) 891-5871
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 25, 2016
Last NPPES UpdateOctober 10, 202212 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
NPI 1770039273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses Licensed in VA · 0904011521 Licensed in MD · 22509
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.
1519 MARKET ST, Pocomoke City, MD 21851

Secondary Practice Location 1

Location 14098 Main St Ste 9Chincoteague, VA 23336-2466 · Phone (757) 891-5871

Other Identifiers 1

Medicaid614064500MD

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sean Butler 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 ID5597193128
PECOS Enrollment IDI20200313002057, I20210305002105, I20241112001314
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 21851 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 $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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

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

Social Worker (Clinical)
1519 MARKET ST
POCOMOKE CITY, MD 21851

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 Sean Butler's NPI number?

The NPI number for Sean Butler is 1770039273. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Sean Butler located?

Sean Butler practices at 1519 Market St, Pocomoke City, MD 21851. The listed phone number is (757) 891-5871.

What is Sean Butler's specialty?

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

Is Sean Butler enrolled in Medicare?

Yes. Sean 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.

What insurance does Sean Butler accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Sean 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 Sean Butler was last updated on October 10, 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.