Ms Linda Jan Boothe, LCSW | |
313 Main St, Bayboro, NC 28515-2851 | |
(252) 745-2070 | |
Not Available |
Full Name | Ms Linda Jan Boothe |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 313 Main St, Bayboro, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912931502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 3349 (Hawaii) | Secondary |
1041C0700X | Social Worker - Clinical | C005619 (North Carolina) | Primary |
Entity Name | Greene County Health Care Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891798054 PECOS PAC ID: 0648189001 Enrollment ID: O20040117000030 |
Mailing Address | Practice Location Address |
---|---|
Ms Linda Jan Boothe, LCSW 7 Professional Dr, Snow Hill, NC 28580-1332 Ph: (252) 747-8162 | Ms Linda Jan Boothe, LCSW 313 Main St, Bayboro, NC 28515-2851 Ph: (252) 745-2070 |
Rachelle Nicole Heller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 709 Main St, Bayboro, NC 28515 Phone: 252-745-9703 | |
Ms. Sheila L Stansberry, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13531 Highway 55, Pamlico Pediatrics, Bayboro, NC 28515 Phone: 252-745-2070 Fax: 252-745-2202 | |
Mrs. Kellie Joiner King, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 709 Main St., Bayboro, NC 28515 Phone: 252-745-6703 | |
Stephanie Erickson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 709 Main Street, Bayboro, NC 28515 Phone: 252-745-9703 Fax: 252-745-9706 |