Amanick Boothe, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hollywood, Florida. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
7777 Davie Road Ext Ste 302b, Hollywood, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 852-1997.
Amanick Boothe is licensed to practice in Florida (license number SW24447) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1992584312.
Healthcare Provider's Profile
| Full Name | Amanick Boothe |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 7777 Davie Road Ext Ste 302b, Hollywood, Florida |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Amanick Boothe graduated from medical school in 2021
NPI Data:
- NPI Number: 1992584312
- Provider Enumeration Date: 09/25/2023
- Last Update Date: 06/08/2026
Medicare PECOS Information:
- PECOS PAC ID: 9436639788
- Enrollment ID: I20260216002468
Medical Identifiers
Medical identifiers for Amanick Boothe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1992584312 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW010062 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 1615 (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW24447 (Florida) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanick Boothe allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20240620000157 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanick Boothe is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Amanick Boothe, LCSW 7777 Davie Road Ext Ste 302b, Hollywood, FL 33024-2503 Ph: (954) 852-1997 | Amanick Boothe, LCSW 7777 Davie Road Ext Ste 302b, Hollywood, FL 33024-2503 Ph: (954) 852-1997 |
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