India Ashley Booker, MSW, RCWSI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ISW21183 Issued in FL

Practice address

3027 San Diego Rd
Jacksonville, FL 32207-3691

Phone

(904) 493-7744

NPI assigned

Jul 30, 2020

Last updated

Nov 1, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1689283079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1597 MATHEWS MANOR DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322114407",
            "telephone_number": "904-405-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 SAN DIEGO RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073691",
            "telephone_number": "904-493-7744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 DuPont Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322172635",
            "country_code": "US",
            "telephone_number": "904-739-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Hendricks Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322075308",
            "country_code": "US",
            "telephone_number": "904-346-5610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "INDIA",
        "middle_name": "ASHLEY",
        "credential": "MSW, RCWSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW21183",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raquel Cruz Bono, MD.
• Sophia Bono, RBT
• Natalie Bonvie-Hill, FNP-C
• Brian Bonzo
• Brent Boodhai
• Kenyon Booker
• Sandy Fawn Booker
• Kara Jordan Boone, OTR/L
• Ralph M. Boone, D.O.
• Rebecca Boone, ARNP

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.