| Sean Butler, | |
|
1519 Market St, Pocomoke City, MD 21851-1711 | |
| (757) 891-5871 | |
| Not Available |
| Full Name | Sean Butler |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 1519 Market St, Pocomoke City, Maryland |
| 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 |
|---|---|---|---|
| 1770039273 | NPI | - | NPPES |
| 614064500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 22509 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904011521 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sondermind Provider Network Llc | 9537572490 | 874 |
| Sondermind Provider Network Llc | 9537572490 | 874 |
| The Calm Space Llc | 3274952163 | 9 |
| Entity Name | Blue Wave Counseling & Psychotherapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891391587 PECOS PAC ID: 4385058890 Enrollment ID: O20210125001181 |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210908001372 |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Butler, 4098 Main St Ste 9, Chincoteague, VA 23336-2466 Ph: (757) 891-5871 | Sean Butler, 1519 Market St, Pocomoke City, MD 21851-1711 Ph: (757) 891-5871 |
Mrs. Monica Surran Christopher, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 305 10th St Ste 104, Pocomoke City, MD 21851 Phone: 410-957-0273 Fax: 410-957-0152 | |
Ms. Amanda Kristen Cullen, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 10th St Ste 104, Pocomoke City, MD 21851 Phone: 410-957-0273 Fax: 410-957-0152 | |
Mrs. Shelonda Latisha Townsend, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 601 Homewood Dr, Pocomoke City, MD 21851 Phone: 144-361-4244 | |
Ms. Tammy Lou Jones, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 305 10th St Ste 104, Pocomoke City, MD 21851 Phone: 410-957-0273 Fax: 410-957-0152 | |
Mrs. Pamala Dawn Thompsen, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2116 Wildwood Trl Ste 8, Pocomoke City, MD 21851 Phone: 410-251-4073 |