Active NPI
Marilyn Yvonne Ore-Booth, LCSW
- Clinical Social Worker
- Washington, NC
National Provider Identifier
1376984815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C005792
- Practice address
- 133 Avon Ave
Washington, NC 27889-3840 - Phone
- (252) 946-1055
- NPI assigned
- Jul 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | C005792 | NC | Primary |
Addresses
Primary practice location
133 Avon Ave
Washington, NC 27889-3840
Mailing address
133 Avon Ave
Washington, NC 27889-3840
Phone (252) 946-1055
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C005792 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373587200000",
"number": "1376984815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 AVON AVE",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893840",
"telephone_number": "252-946-1055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "133 AVON AVE",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893840",
"telephone_number": "252-946-1055"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORE-BOOTH",
"first_name": "MARILYN",
"middle_name": "YVONNE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-12",
"last_updated": "2013-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C005792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Christopher Lee Padgett, O.D.
- William C Padgett, OD
- Pamlico Arms (Washington Manor)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.