SEAN BUTLER
NPI 1770039273
Social Worker - Clinical in Pocomoke City, MD
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
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted 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
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.
Medicare Billing Reassignments
7Medicare enrollment records show Sean Butler reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Allentown, PA 18104
- Reassigned Medicare billing, Pennsylvania enrollment
- 18 clinicians in this Medicare group
Whitehall, PA 18052
- Reassigned Medicare billing, Pennsylvania enrollment
- 14 clinicians in this Medicare group
Hoboken, NJ 07030
- Reassigned Medicare billing, New Jersey enrollment
- 673 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Maryland enrollment
- 71 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, District of Columbia, Delaware and Pennsylvania enrollments
- 1,424 clinicians in this Medicare group
Wichita, KS 67202
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Sondermind PA
- 70 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Maryland and Virginia enrollments
- 179 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 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.
Which organizations bill Medicare for Sean Butler's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sean Butler reassigns Medicare benefits to 7 organizations: The Calm Space LLC (Allentown, PA), Care Counseling & Children's Services LLC (Whitehall, PA), Grow Healthcare Group Of New Jersey PC (Hoboken, NJ), Mental Health Specialty Group PA (Durham, NC), Grow Healthcare Group PA (Miami, FL) and 2 more organizations, listed in the Medicare section above. Each 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 Sean Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sean Butler accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Oscar Health, 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 4 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.