NPI 1326320391 · live from the CMS NPI Registry
Heather Renee Booth, LCSW
Social Worker, Clinical in Beckley, WV. National Provider Identifier 1326320391, active.
NPI record
| NPI | 1326320391 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 28 Mallard Ct, Beckley, WV 25801 |
| Practice phone | 304-252-8409 |
| Enumerated | September 15, 2011 |
| Last updated | September 15, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | AP02943057 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.