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

Individual provider Clinical Social Worker · NPI 1073909818

Tedi Butolph, LCSW is a Clinical Social Worker in San Antonio, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2015
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1115 Mission Rd
San Antonio, TX 78210-4505
Phone: (210) 533-3504
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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 55407 (TX)

Record details

NPI number1073909818
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 8, 2015
Last updated in NPPESApril 8, 2015

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