Susan Victoria Booth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

55 Richard Rd
Guilford, CT 06437-1523

Phone

(203) 689-5896

NPI assigned

Oct 18, 2021

Last updated

Nov 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1376206276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 RICHARD RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371523",
            "telephone_number": "203-689-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 RICHARD RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064371523",
            "telephone_number": "203-689-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "SUSAN",
        "middle_name": "VICTORIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Magdalena Janina Bonk, LPC
• Susann Caroline Boroczky, R.D., CD-N
• Melissa Boutagy, DPT
• Michael F Bower, EDD
• Clara Bowron, JD, RN
• Elizabeth E. Brainerd, N.D.

• Clinical Social Worker in Guilford, CT
• Providers in Guilford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.