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Teddy Wayne Booth II, LCSW
Clinical Social Worker in Johnson City, Tennessee
NPI 1215160403

Teddy Wayne Booth II is a Clinical Social Worker based in Gray, TN and is specialized in Clinical. Teddy Wayne Booth II practices in Johnson City, TN and has the professional credentials of LCSW. The NPI Number for Teddy Wayne Booth II is 1215160403 and holds a License No. 1086 (Tennessee).

The current practice location address for Teddy Wayne Booth II is 109 W Watauga Ave, Johnson City, TN and can be reached out via phone at 423-232-2600 and via fax at 423-467-3644.

Location: 109 W Watauga Ave, Johnson City, TN, 37615-6205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215160403
Provider Name
Teddy Wayne Booth II
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
109 W Watauga Ave, Johnson City, TN, 37615-6205
Phone Number
423-232-2600
Fax Number
423-467-3644
Provider Enumeration Date
09/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1515202 05 TN
1215160403 WATAUGA 05 VA
institution
Provider Business Practice Location Address Details
Address
109 W Watauga Ave
City
Johnson City
State
Tennessee
Zip
37604-5621
Phone Number
423-232-2600
Fax Number
423-467-3644
person
Provider Business Mailing Address Details
Address
109 W Watauga Ave
City
Johnson City
State
Tennessee
Zip
37604-5621
Phone Number
423-232-2600
Fax Number
423-467-3644
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
1086 (Kentucky)
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.
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