NPI 1194449876 · live from the CMS NPI Registry
Joshua Booth
Social Worker in Ripley, WV. National Provider Identifier 1194449876, active.
NPI record
| NPI | 1194449876 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 504 1/2 Church St S, Ripley, WV 25271 |
| Practice phone | 304-707-4231 |
| Enumerated | September 27, 2022 |
| Last updated | October 11, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | — |
| Social Worker primary | 104100000X | PL042216213 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.