| Mr Robert O Butler, LCSW | |
|
40 4th St Ste 224, Petaluma, CA 94952-3040 | |
| (707) 241-3003 | |
| Not Available |
| Full Name | Mr Robert O Butler |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 48 Years |
| Location | 40 4th St Ste 224, Petaluma, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093718454 | NPI | - | NPPES |
| FHC03887F | Medicaid | CA | |
| 1356344758 | Medicaid | CA | |
| 1598786352 | Medicaid | CA | |
| FHC70957F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS7338 (California) | Primary |
| Entity Name | Relationship Center For Change A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689014615 PECOS PAC ID: 2466693726 Enrollment ID: O20130729000762 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Robert O Butler, LCSW 40 4th St, Ste. 224, Petaluma, CA 94952-3040 Ph: (707) 241-3003 | Mr Robert O Butler, LCSW 40 4th St Ste 224, Petaluma, CA 94952-3040 Ph: (707) 241-3003 |
Ms. Judy B Iwanier, MSW, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5 Keller St, # 2, Petaluma, CA 94952 Phone: 310-423-0736 | |
Lorena Yanez-ramirez, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 | |
Mayra Gonzalez, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1179 N Mcdowell Blvd, Petaluma, CA 94954 Phone: 707-559-7500 Fax: 707-559-7620 | |
Robin Kobrin Aquino, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1668 San Marino Dr, Petaluma, CA 94954 Phone: 209-601-6964 | |
Rebecca A Stanwyck, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: Po Box 2511, Petaluma, CA 94953 Phone: 510-881-2540 | |
Marilyn Lee Jaffe, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 508 West St, Petaluma, CA 94952 Phone: 707-318-3912 |