Jennifer Ashley Tomer Booth, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

119883 Issued in CA

Practice address

333 S Beaudry Ave
Los Angeles, CA 90017-1466

Phone

(831) 213-2413

NPI assigned

Aug 25, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1730606161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19141 GOLDEN VALLEY RD # 1080",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913871428",
            "telephone_number": "831-515-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S BEAUDRY AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171466",
            "telephone_number": "831-213-2413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15777 Bowdoin St",
            "address_purpose": "LOCATION",
            "city": "Pacific Palisades",
            "state": "CA",
            "postal_code": "902723523",
            "country_code": "US",
            "telephone_number": "831-515-8037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15777 Bowdoin St",
            "address_purpose": "LOCATION",
            "city": "Pacific Palisades",
            "state": "CA",
            "postal_code": "902723523",
            "country_code": "US",
            "telephone_number": "831-515-8037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "JENNIFER ASHLEY",
        "middle_name": "TOMER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "119883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evelyn Cruz Boonyarit
• Erie V Boorman III, MD
• Michelle Boostanfar, PHARM D
• Amber Booth
• Daniel Jordan Booth, MA
• Karen Booth, LMFT
• Alexis Boothby, LCSW
• David Thomas Boothe, MD
• Sunita Kaur Boparai, AGACNP-BC
• Sushma Boppana, MD

• Clinical Social Worker in Los Angeles, CA
• Providers in Los Angeles, 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 Jan 2, 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.