Active NPI
Sandra McCrae Boots, LCSW
- Mental Health Counselor
- Washington, DC
National Provider Identifier
1467528208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LC300363
- Practice address
- 5415 Connecticut Ave NW Ste T43
Washington, DC 20015-2786 - Phone
- (202) 362-4267
- NPI assigned
- Nov 24, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC300363 | DC | Primary |
Addresses
Primary practice location
5415 Connecticut Ave NW Ste T43
Washington, DC 20015-2786
Mailing address
2619 Washington Ave
Chevy Chase, MD 20815-3013
Phone (301) 585-8376
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 |
|---|---|---|---|
| LC300363 | DC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1467528208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2619 WASHINGTON AVE",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "208153013",
"telephone_number": "301-585-8376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5415 CONNECTICUT AVE NW STE T43",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200152786",
"telephone_number": "202-362-4267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOOTS",
"first_name": "SANDRA",
"middle_name": "MCCRAE",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "DC",
"license": "LC300363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.