NPI 1700647658 · live from the CMS NPI Registry
Amanda Jane Boothe, MSW, LICSW, AADC
Social Worker, Clinical in Beckley, WV. National Provider Identifier 1700647658, active.
NPI record
| NPI | 1700647658 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 100 Howe St, Beckley, WV 25801 |
| Practice phone | 601-207-4049 |
| Mailing address | 108 Mcclure St, Beckley, WV 25801 |
| Enumerated | January 18, 2024 |
| Last updated | August 27, 2026 |
| Sole proprietor | No |
| Other names | Amanda Lilly |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | DP00946732 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.