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Butterfly Lcsw PC

NPI 1023349297ActiveOrganization· Social Worker, Clinical· Bay Shore, NY

Social Worker, Clinical in Bay Shore, New York, registered in NPPES in January 2010. The authorized official on file is Jean Bacon, PHD, LCSW, Clinical Director. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1023349297
StatusActive
Entity typeOrganization
NPI issuedJan 27, 2010
Last updated in NPPESApr 14, 2020
Certified by providerApr 14, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X04056NY
Social Worker104100000X075977NY
Social Worker104100000X070508NY
Social Worker104100000X073889NY
Social Worker104100000X076780NY
Social Worker104100000X074014NY
Social Worker104100000X076163NY
Social Worker104100000X079274NY
Social Worker104100000X077806NY
Social Worker104100000X070271NY
Social Worker104100000X077805NY
Social Worker104100000X074277NY
Social Worker104100000X079551NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

Other clinical social workers in Bay Shore

All 91 clinical social workers in Bay Shore · All clinical social workers in New York