Provider Demographics
NPI:1144211467
Name:BUTLER, KARI LYN (LCSW, MSW)
Entity Type:Individual
Prefix:MS
First Name:KARI
Middle Name:LYN
Last Name:BUTLER
Suffix:
Gender:F
Credentials:LCSW, MSW
Other - Prefix:
Other - First Name:KARI
Other - Middle Name:LYN
Other - Last Name:VAN BUSKIRK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, MSW
Mailing Address - Street 1:409 TOSCHLOG ROAD
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:IN
Mailing Address - Zip Code:47374
Mailing Address - Country:US
Mailing Address - Phone:765-965-9796
Mailing Address - Fax:765-965-4531
Practice Address - Street 1:409 TOSCHLOG RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:IN
Practice Address - Zip Code:47374-5037
Practice Address - Country:US
Practice Address - Phone:765-965-9796
Practice Address - Fax:765-965-4531
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34004388A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical