Active NPI
Megan Suzanne Booth, LLMSW
- Clinical Social Worker
- Monroe, MI
National Provider Identifier
1063685907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- L1210231
- Practice address
- 621 S Monroe St
Monroe, MI 48161-1440 - Phone
- (734) 457-5439
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | L1210231 | MI | Primary |
Addresses
Primary practice location
621 S Monroe St
Monroe, MI 48161-1440
Mailing address
14930 Laplaisance Rd
Monroe, MI 48161-3880
Phone (734) 241-0180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1210231 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1063685907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14930 LAPLAISANCE RD",
"city": "MONROE",
"state": "MI",
"postal_code": "481613880",
"telephone_number": "734-241-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 S MONROE ST",
"city": "MONROE",
"state": "MI",
"postal_code": "481611440",
"telephone_number": "734-457-5439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTH",
"first_name": "MEGAN",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "LLMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "L1210231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.