Active NPIIndividual provider

Stacy Boothe

Social Worker in Mattapan, Massachusetts

NPI Number1255775961
Practice location
53 Clarkwood St, Mattapan, MA 02126-1807
Fax
—
Last updated
April 24, 2013

Stacy Boothe is a Social Worker based in Mattapan, MA. Stacy Boothe practices in Mattapan, MA. The NPI Number for Stacy Boothe is 1255775961 and holds a License No. LSW (MA). The current practice location address for Stacy Boothe is 53 Clarkwood St, Mattapan, MA 02126-1807 and can be reached out via phone at 617-690-9178.

Provider Profile Details

NPI Number
1255775961
Provider Name
Stacy Boothe
Provider Entity Type
Individual
Gender
Female
Address
53 Clarkwood St, Mattapan, MA 02126-1807
Phone Number
617-690-9178
Primary Taxonomy
Social Worker · 104100000X
Sole Proprietor
No
Provider Enumeration Date
April 24, 2013
Last Update Date
April 24, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
53 Clarkwood St
Mattapan, MA 02126-1807
Zip
02126-1807
Phone Number
617-690-9178
Mattapan, MA 02126Get directions →

Provider Business Mailing Address Details

Address
53 Clarkwood St
Mattapan, MA 02126-1807
City
Mattapan
State
MA
Zip
02126-1807

License Information

License Number
LSW
License State
MA
Taxonomy
Social Worker · 104100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Stacy Boothe?

The NPI number of Stacy Boothe is 1255775961. It was assigned on April 24, 2013 and is currently active in the NPPES registry.

What is the specialty of Stacy Boothe?

Stacy Boothe is registered under the primary taxonomy Social Worker (code 104100000X), licensed in MA under license number LSW.

Where does Stacy Boothe practice?

The practice location is 53 Clarkwood St, Mattapan, MA 02126-1807. The office can be reached at 617-690-9178 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255775961 directly on the NPPES registry website.

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