MRS. HEIDI ANN BUTLER MSW, LCSW, CSAC
NPI 1821136300
Social Worker - Clinical in Plymouth, WI

Active since February 05, 2007PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
825 WALTON DR, PLYMOUTH, WI 53073(920) 496-4700 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2026, Feb 21, 2020, Feb 6, 2019 and 1 more (4 updates tracked since 2016).

About Mrs. Heidi Ann Butler Msw, Lcsw, Csac NPPES

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

MRS. HEIDI ANN BUTLER MSW, LCSW, CSAC (NPI 1821136300) is an individual clinical provider in Plymouth, Wisconsin, licensed in Wisconsin (6868-123) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Bend, and is a graduate of University Of Wisconsin School Of Medicine (1997).

NPPES Registry Identity

NPI1821136300
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. HEIDI ANN BUTLERCredential: MSW, LCSW, CSAC
Location Address825 WALTON DRPlymouth, WI 53073-5022
Mailing Address825 Walton DrPlymouth, WI 53073-5022 · (920) 892-4322
Sole ProprietorYes
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1997
Enumeration DateFebruary 5, 2007
Last NPPES UpdateMarch 2, 20264 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1821136300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 6868-123
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 12079-131 (WI)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6868-123 (WI)
825 WALTON DR, Plymouth, WI 53073

Secondary Practice Location 1

Location 1279 S. 17th Ave, Suite 10West Bend, WI 53095-3001 · Phone (262) 789-1191 ext. 193 · Fax (262) 306-9317

Other Identifiers 1

Medicaid100050101WI

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

Mrs. Heidi Ann Butler Msw, Lcsw, Csac 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 ID5092818930
PECOS Enrollment IDI20070313000513
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 53073 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 18

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

Chiropractor
825 WALTON DR
PLYMOUTH, WI 53073
Chiropractor
825 WALTON DR
PLYMOUTH, WI 53073
Nurse Practitioner
825 WALTON DR
PLYMOUTH, WI 53073
Occupational Therapist
825 WALTON DR
PLYMOUTH, WI 53073
Nurse Practitioner (Primary Care)
825 WALTON DR
PLYMOUTH, WI 53073
Physical Therapist
825 WALTON DR
PLYMOUTH, WI 53073
Nurse Practitioner (Family)
825 WALTON DR
PLYMOUTH, WI 53073
Family Medicine
825 WALTON DR
PLYMOUTH, WI 53073

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 Heidi Butler's NPI number?

The NPI number for Heidi Butler is 1821136300. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Heidi Butler located?

Heidi Butler practices at 825 Walton Dr, Plymouth, WI 53073. The listed phone number is (920) 496-4700.

What is Heidi Butler's specialty?

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

Is Heidi Butler enrolled in Medicare?

Yes. Heidi 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 Heidi Butler accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Medica, Network Health and Security Health Plan list Heidi 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 Heidi Butler was last updated on March 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.