Individual provider Active NPI

Sara Elizabeth Booth, LMSW, CASAC

  • Social Worker
  • Orchard Park, NY
National Provider Identifier
1710110770
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
8188487 Issued in NY
Practice address
3176 Abbott Rd
BLDG. a, Suite 500
Orchard Park, NY 14127-1069
Phone
(716) 822-2117
NPI assigned
Aug 25, 2009
Last updated
Mar 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 28904 NY
Social Worker 104100000X 8188487 NY Primary

Addresses

Primary practice location

3176 Abbott Rd
BLDG. a, Suite 500
Orchard Park, NY 14127-1069

Mailing address

255 Delaware Ave
Suite 300
Buffalo, NY 14202-2016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20150505000540 NY Practitioner - Clinical Social Worker 1658690102 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bestself Behavioral Health IncGroup PAC ID 6507856622, 77 clinicians

Practice addresses (Care Compare)

254 Franklin St
Buffalo, NY 14202-1932
Phone (716) 551-7894

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28904NYMDAddiction (Substance Use Disorder) Counselor
8188487NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bestself Behavioral Health, Inc. Addiction (Substance Use Disorder) CurrentSince Feb 18, 2015 Accepting new patients
Bestself Behavioral Health, Inc. CurrentSince Feb 18, 2015 Accepting new patients

Locations

254 Franklin St
Buffalo, NY 14202
Phone (716) 551-7894

255 Delaware Ave
Ste 300
Buffalo, NY 14202
Phone (408) 348-2769

899 Main St
Buffalo, NY 14203
Phone (716) 862-6544

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1710110770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 DELAWARE AVE",
            "address_2": "SUITE 300",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142022016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 ABBOTT RD",
            "address_2": "BLDG. A, SUITE 500",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271069",
            "telephone_number": "716-822-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "SARA",
        "middle_name": "ELIZABETH",
        "credential": "LMSW, CASAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "28904",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "8188487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.