Provider Demographics
NPI:1538302708
Name:BUTLER, KATHLEEN ANN (LCSW)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:ANN
Last Name:BUTLER
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Gender:F
Credentials:LCSW
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Mailing Address - Street 1:4951 ARROYO RD
Mailing Address - Street 2:VA HOSPITAL LIV/117P
Mailing Address - City:LIVERMORE
Mailing Address - State:CA
Mailing Address - Zip Code:94550-9650
Mailing Address - Country:US
Mailing Address - Phone:650-493-5000
Mailing Address - Fax:925-449-6523
Practice Address - Street 1:4951 ARROYO RD
Practice Address - Street 2:VA HOSPITAL LIV/117P
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-9650
Practice Address - Country:US
Practice Address - Phone:650-493-5000
Practice Address - Fax:925-449-6523
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2014-07-11
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health