Provider Demographics
NPI:1396184768
Name:BUTTON, JAMES DAVID (LMSW)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:BUTTON
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 JUNCTION RD
Mailing Address - Street 2:
Mailing Address - City:MALONE
Mailing Address - State:NY
Mailing Address - Zip Code:12953-4224
Mailing Address - Country:US
Mailing Address - Phone:518-483-6256
Mailing Address - Fax:518-483-1126
Practice Address - Street 1:255 JUNCTION RD
Practice Address - Street 2:
Practice Address - City:MALONE
Practice Address - State:NY
Practice Address - Zip Code:12953-4224
Practice Address - Country:US
Practice Address - Phone:518-483-6256
Practice Address - Fax:518-483-1126
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY088867104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker