Thomas Meredith Booth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

74254 Issued in CA

Practice address

20151 Nordhoff St
Chatsworth, CA 91311-6215

Phone

(213) 804-7660

NPI assigned

Aug 29, 2012

Last updated

Sep 21, 2018By the provider in NPPES

Sex

Male

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

Enrolled in CA

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Los Angeles County Department of Mental Health

  dba GENESIS Countywide Older Adult Program

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1083633929
  Medicare reassignment NPD
• Los Angeles County Department of Mental Health

  dba Santa Clarita Valley Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valencia, CA
  • NPI 1790718112
  NPD
• Los Angeles County Department of Mental Health

  dba Arcadia Mental Health Center-Full Service Partnership

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arcadia, CA
  • NPI 1902676075
  NPD

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1710236336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4869 TOPANGA CANYON BLVD STE 1",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913644253",
            "telephone_number": "818-437-8453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20151 NORDHOFF ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116215",
            "telephone_number": "213-804-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4869 Topanga Canyon Blvd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913644253",
            "country_code": "US",
            "telephone_number": "818-437-8453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "THOMAS",
        "middle_name": "MEREDITH",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "36467",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "74254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Dale Bloom, LMFT
• Blue Butterfly Hospice, Inc.
• Blue Diamond Home Health Inc
• Ildiko Roxane Bocskay, PHD, PMHNP-BC
• Marina Bondarenko, RN
• Leslie Borodi, C E ADMINISTRATOR
• Kevin Boyd, LCSW
• Omer Sahan Boysan, D.C.
• John Davies Bracken, MFT
• Sima Braude, MSW

• Clinical Social Worker in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.