| Ms Linda Jan Boothe, LCSW | |
|
313 Main St, Bayboro, NC 28515-2851 | |
| (252) 745-2070 | |
| Not Available |
| Full Name | Ms Linda Jan Boothe |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 34 Years |
| Location | 313 Main St, Bayboro, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| 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 |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Peterson Medical Clinics Llc | 9335412220 | 68 |
| Peterson Medical Clinics Llc | 9335412220 | 68 |
| Peterson Medical Clinics Llc | 9335412220 | 68 |
| Peterson Medical Clinics Llc | 9335412220 | 68 |
| Peterson Medical Clinics Llc | 9335412220 | 68 |
| Peterson Medical Clinics Llc | 9335412220 | 68 |
| Entity Name | Greene County Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891798054 PECOS PAC ID: 0648189001 Enrollment ID: O20040117000030 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221208000188 |
| Entity Name | Peterson Medical Clinics, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699295774 PECOS PAC ID: 9335412220 Enrollment ID: O20250304000622 |
| 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 |
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 | |
Macy Poole, LCSWA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 Main St, Bayboro, NC 28515 Phone: 252-745-4510 |