Amanda Jane Boothe, MSW, LICSW, AADC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

DP00946732 Issued in WV

Practice address

100 Howe St
Beckley, WV 25801-5509

Phone

(601) 207-4049

NPI assigned

Jan 18, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Jane Lilly Former name

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": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1700647658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 MCCLURE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258016040",
            "telephone_number": "681-422-9682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOWE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258015509",
            "telephone_number": "601-207-4049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Harper Park Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Beckley",
            "state": "WV",
            "postal_code": "258012643",
            "country_code": "US",
            "telephone_number": "681-238-3344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "credential": "MSW, LICSW, AADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-18",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00946732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "LILLY",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shannon Suzzette Bonds
• Angela Booker
• Opifilia Booker
• Zekiah Davon Booker
• Heather Renee Booth, LCSW
• Anita Boothe
• Lindsey Boothe
• Shayla Border
• Charles Borders
• Chesnee Borders

• Clinical Social Worker in Beckley, WV
• Providers in Beckley, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.