| Teddy Wayne Booth Ii, LCSW | |
|
109 W Watauga Ave, Johnson City, TN 37604-5621 | |
| (423) 232-2600 | |
| (423) 467-3644 |
| Full Name | Teddy Wayne Booth Ii |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 109 W Watauga Ave, Johnson City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215160403 | NPI | - | NPPES |
| 1515202 | Medicaid | TN | |
| 1215160403 WATAUGA | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 1086 (Kentucky) | Secondary |
| 1041C0700X | Social Worker - Clinical | 3367 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Teddy Wayne Booth Ii, LCSW 1167 Spratlin Park Dr, Gray, TN 37615-6205 Ph: (423) 467-3600 | Teddy Wayne Booth Ii, LCSW 109 W Watauga Ave, Johnson City, TN 37604-5621 Ph: (423) 232-2600 |
Mrs. Krysten Kelch, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 E Myrtle Ave Ste 300, Johnson City, TN 37601 Phone: 423-461-0015 | |
Deborah Ann Thibeault, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 325 N State Of Franklin Rd, Johnson City, TN 37604 Phone: 423-439-7320 Fax: 423-439-7343 | |
Mr. Jay Richard Shilling, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1416 S Roan St, Oaks Castle Clinic, Johnson City, TN 37601 Phone: 423-979-6257 | |
Amy Michelle Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1211 King Springs Rd Apt 606, Johnson City, TN 37601 Phone: 423-946-4938 | |
Sarah Grace Mccray, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 114 E Unaka Ave, Johnson City, TN 37601 Phone: 865-281-1408 Fax: 865-244-3579 | |
Ms. Kawana (kay) Collake, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 403 Princeton Rd Ste 2, Johnson City, TN 37601 Phone: 423-741-5644 Fax: 423-714-3116 | |
Mrs. Leah Elizabeth Roth, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2333 Knob Creek Rd, Suite 11, Johnson City, TN 37604 Phone: 423-952-0500 Fax: 423-952-0005 |