Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TEDDY WAYNE BOOTH II, LCSW
Active Sole ProprietorClinical Social Worker · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1215160403
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2009 (16.642644122799 yrs)
- Last Updated
- Nov 11, 2009
- Licenses
-
1086 (KY)3367 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
109 W WATAUGA AVEJOHNSON CITY, TN, 376045621Browse TN providers · Browse ZIP 37604
- Phone
- 4232322600
- Fax
- 4234673644
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in JOHNSON CITY, TN
| Name | Credential | NPI |
|---|---|---|
| MS. MARY LEOMA YARLING | LCSW | 1336147552 |
| SUSAN D FIELDS | LCSW | 1013900042 |
| MRS. LEAH ELIZABETH ROTH | MSW | 1124015771 |
| MR. JAY RICHARD SHILLING | LCSW | 1063403533 |
| MRS. ERICA PETREE | LCSW | 1275506255 |
| LINDA SUE COEBURN | LCSW | 1841223591 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.