Sophie-Tessa G. Butcher, LLMSW
NPI 1952817421ActiveIndividual· Social Worker, Clinical· East Tawas, MI
Social Worker, Clinical (LLMSW) in East Tawas, Michigan, trained at Michigan State University College of Human Medicine (class of 2021). Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1952817421 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LLMSW |
| Sole proprietor | No |
| NPI issued | Dec 20, 2017 |
| Last updated in NPPES | Nov 30, 2023 |
| Certified by provider | Nov 30, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801117268 | MI |
| Social Worker | 104100000X | 6802089518 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|
Education and affiliations
| Medical school | Michigan State University College of Human Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Clinical Social Worker |
Medical group
- Michelle Lynn Therapy PLCEast Tawas, MI · 3 clinicians
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