Tiffani Boots

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34011063A Issued in IN

Practice address

1133 Lincoln Ave
Evansville, IN 47714-1028

Phone

(812) 491-2615

NPI assigned

Apr 2, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Counseling for Change, Inc.

  • Community/Behavioral Health Agency
  • Evansville, IN
  • NPI 1538465349
  Medicare reassignment NPD
• Indiana Eye Center LLC

  • Ophthalmology Physician
  • Princeton, IN
  • NPI 1710265269
  NPD (past)
• Maglinger Home Based Services Inc.

  • Mental Health Counselor
  • Evansville, IN
  • NPI 1811293624
  NPD (past)

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1548849151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3117",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477303117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 LINCOLN AVE",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477141028",
            "telephone_number": "812-491-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTS",
        "first_name": "TIFFANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "IN",
            "license": "87001795A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34011063A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kathleen Booker
• Kaylie Shane Booker, PMHNP-BC
• Lashanda S Booker
• Jason Matthew Booth, M.D.
• Lindsey Boots, MOTR
• Boris Vatel
• Oleg Borisyuk, LDH
• Mary Jo Borowiecki, LIFE COACH
• Patricia A. Borst, NP-C
• Scott David Bosecker, MS,CCC-SLP

• Clinical Social Worker in Evansville, IN
• Providers in Evansville, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.