Provider Demographics
NPI:1558600353
Name:BUTLER-ROMULUS, TONIANN (LICSW)
Entity type:Individual
Prefix:
First Name:TONIANN
Middle Name:
Last Name:BUTLER-ROMULUS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9716 NW 23RD CT
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-1432
Mailing Address - Country:US
Mailing Address - Phone:954-651-8920
Mailing Address - Fax:
Practice Address - Street 1:2811 PENNSYLVANIA AVE SE STE LL
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20020-3865
Practice Address - Country:US
Practice Address - Phone:771-772-2757
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-14
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6365104100000X
DC50079864253J00000X
MD19396253J00000X
DCLC50079864251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
No253J00000XAgenciesFoster Care Agency