NPI 1912931502 · live from the CMS NPI Registry
Linda Jan Boothe, LCSW
Social Worker, Clinical in Bayboro, NC. National Provider Identifier 1912931502, active.
NPI record
| NPI | 1912931502 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 313 Main St, Bayboro, NC 28515 |
| Practice phone | 252-745-2070 |
| Mailing address | 7 Professional Dr, Snow Hill, NC 28580 |
| Enumerated | July 10, 2006 |
| Last updated | February 9, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 3349 (HI) |
| Social Worker, Clinical primary | 1041C0700X | C005619 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.