Individual provider · Type 1 NPI

Diane G. Booth, LCSW

Clinical Social Worker · New York, NY

NPI number 1407065568 Active

Practice location

160 West End Avenue, Suite 1N
New York, NY 10023

Fax (212) 864-6380

Mailing address

57 West 70th Street, #3B
New York, NY 10023

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XR0314121 (NY)

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 1407065568

Diane G. Booth, LCSW's National Provider Identifier is 1407065568, issued on May 22, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in New York, NY. The record was last updated on Jul 8, 2007.