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Dr. Bridget Kathleen Booth, PHDPMHCNS-BC
Adult Psychiatric/Mental Health Clinical Nurse Specialist in Fayetteville, North Carolina
NPI 1043242852

Bridget Kathleen Booth is an Adult Psychiatric/Mental Health Clinical Nurse Specialist based in Lillington, NC and is specialized in Psychiatric/Mental Health, Adult. Bridget Kathleen Booth practices in Fayetteville, NC and has the professional credentials of PHDPMHCNS-BC. The NPI Number for Bridget Kathleen Booth is 1043242852 and holds a License No. C004317 (North Carolina).

The current practice location address for Bridget Kathleen Booth is 2300 Ramsey St, Fayetteville, NC and can be reached out via phone at 910-488-2120 and via fax at 910-822-7017.

Location: 2300 Ramsey St, Fayetteville, NC, 27546-7305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043242852
Provider Name
Bridget Kathleen Booth
Credential
PHDPMHCNS-BC
Provider Entity Type
Individual
Gender
Female
Address
2300 Ramsey St, Fayetteville, NC, 27546-7305
Phone Number
910-488-2120
Fax Number
910-822-7017
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BO261381 01 PA BLUE CROSS BLUE SHIELD
IP156708 01 PA MAGELLAN BEHAVIORAL HEALT
institution
Provider Business Practice Location Address Details
Address
2300 Ramsey St
City
Fayetteville
State
North Carolina
Zip
28301
Phone Number
910-488-2120
Fax Number
910-822-7017
person
Provider Business Mailing Address Details
Address
2300 Ramsey St
City
Fayetteville
State
North Carolina
Zip
28301
Phone Number
910-488-2120
Fax Number
910-822-7017
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
193660 (North Carolina)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
364SP0809X
License No.
C004317 (North Carolina)
Definition
Definition to come...
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