Jo Ann Booth is a Clinical in Saint Charles, Missouri. Jo Ann Booth practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jo Ann Booth is 1598845877. The last update date is 2007-07-08.
Jo Ann Booth's current location address is 200 S Kingshighway St, Saint Charles, Missouri. You can contact this provider via phone number 6369492650 and fax number 6369492650. The mailing address for Jo Ann Booth is 200 S Kingshighway St, Saint Charles, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jo Ann Booth |
|---|---|
| Address | 200 S Kingshighway St, Saint Charles, Missouri |
| Phone Number | 6369492650 |
| Fax Number | 6369492650 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1598845877 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 200 S Kingshighway St |
|---|---|
| City | Saint Charles |
| State | Missouri (MO) |
| Post Code | 633011637 |
| Phone Number | 6369492650 |
| Fax Number | 6369492650 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 4635 |
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Definition: 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, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 99393746 | MO | PROVIDER ID | |
| 159912 | MO | PROVIDER ID | |
| 498219104 | MO | -- | |
| 465182 | MO | PROVIDER ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jo Ann Booth by the Centers for Medicare & Medicaid Services?
The Jo Ann Booth has been assigned the NPI (National Provider Identifier) 1598845877 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Jo Ann Booth is geographically located?
The Jo Ann Booth is physically situated at the following location: 200 S Kingshighway St, Saint Charles, MO, 633011637.
What is the Jo Ann Booth's specialty and taxonomy code?
The Jo Ann Booth's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did Jo Ann Booth receive its 1598845877 assignment from the Centers for Medicare & Medicaid Services?
The Jo Ann Booth was assigned its 1598845877 on 2006-10-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jo Ann Booth most recently updated or refreshed?
The details pertaining to the Jo Ann Booth, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.