Provider Demographics
NPI:1386831840
Name:BUTTON, LINDA J (LCSW, CAP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:J
Last Name:BUTTON
Suffix:
Gender:F
Credentials:LCSW, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 S OSPREY AVE
Mailing Address - Street 2:SUITE C-12
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2939
Mailing Address - Country:US
Mailing Address - Phone:941-917-1240
Mailing Address - Fax:941-917-1189
Practice Address - Street 1:1515 S OSPREY AVE
Practice Address - Street 2:SUITE C-12
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2939
Practice Address - Country:US
Practice Address - Phone:941-917-1240
Practice Address - Fax:941-917-1189
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW17451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical