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

Ryan Butler

Individual provider Clinical Social Worker · NPI 1356755581

Ryan Butler is a Clinical Social Worker in Crescent City, California. Qualified in 2020, 6 years ago. Practices with Coquille Indian Tribe, a 21-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
6
Licensed in
UT
In the registry since
2014
Specialties on file
2

Practice location Address checks out

1675 Northcrest Dr
Crescent City, CA 95531-8928
Phone: (707) 464-2750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 5868004-3501 (UT)
Counselor Taxonomy 101Y00000X

Record details

NPI number1356755581
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 16, 2014
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025
Mailing address1600 Weeot Way, Arcata, CA 95521-4734

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Coquille Indian Tribe — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Crescent City