Sharon Marie Booth, MSW LCSW
Individual provider Active NPI Clinical Social Worker · Cameron Park, CA
NPI 1487740346 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1487740346
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCS5729 (CA)
- Practice address
- 4120 Cameron Park Dr
Ste 403
Cameron Park, CA 95682 - Phone
- (530) 677-5764
- Fax
- (530) 676-1782
- NPI assigned
- Oct 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS5729 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS5729 | CA | Yes |
Addresses
Primary practice location
4120 Cameron Park Dr
Ste 403
Cameron Park, CA 95682
Mailing address
4120 Cameron Park Dr
Ste 403
Cameron Park, CA 95682
Phone (530) 677-5764
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ26296Z | Other | CA | BLUE SHIELD |
| 6250764 | Other | UBH | |
| 0000033137051117 | Other | MHN | |
| 069574 | Other | VO | |
| 0004318938 | Other | AETNA |
Other providers in Cameron Park, CA
- Douglas Beernink
- Alison J. Bevan
- Navjot Kaur Bisla
- Bita K. Naji, M.D., P.C
- Mark N Blatt
- Forrest Ryan Boozer
- Oksana Boyechko
- Brar Dental Group Inc
- Cloe Jean Brown
- Jennifer Arlene Brown
All providers in Cameron Park, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.