Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bethany Joy Butler, MNA, MSW, LICSW

Individual provider Clinical Social Worker · NPI 1245624568

Bethany Joy Butler, MNA, MSW, LICSW is a Clinical Social Worker in Minneapolis, Minnesota. Licensed in Illinois and Minnesota. Registered with an NPI since 2015.

Licensed in
IL, MN
In the registry since
2015
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

4027 County Road 25
Minneapolis, MN 55416-2629
Phone: (612) 925-6033
Fax: (612) 925-8496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 20807 (MN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.016802 (IL)

Record details

NPI number1245624568
Entity typeIndividual (Type 1)
GenderFemale
Credentials MNA , MSW , LICSW
Sole proprietorNo
NPI enumeratedMarch 25, 2015
Last updated in NPPESJune 23, 2022
Certification dateJune 23, 2022

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