Individual provider · Type 1 NPI

Chad A. Booth, LSW

Clinical Social Worker · Michigan City, IN

NPI number 1083802094 Active

Practice location

450 Saint John Rd
Michigan City, IN 46360-7354

Call (219) 872-8666 Map

Mailing address

1072 Jesse Bartlett Ct
Crown Point, IN 46307-7515

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X33005318A (IN)

Clinical Social Worker: 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 interpers…

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About NPI 1083802094

Chad A. Booth, LSW's National Provider Identifier is 1083802094, issued on Oct 4, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Michigan City, IN. The record was last updated on Oct 4, 2007.