Individual provider Active NPI

Shirley Marie Boothe, LCSW

  • Clinical Social Worker
  • Spring, TX
National Provider Identifier
1841435708
Registry record updated Dec 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C9678 Issued in MS
Practice address
6106 River Mill CT
Spring, TX 77379-6403
Phone
(281) 655-7118
Fax
(281) 655-7118
NPI assigned
Dec 8, 2008
Last updated
Dec 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C9678 MS Primary

Addresses

Primary practice location

6106 River Mill CT
Spring, TX 77379-6403

Mailing address

302 Brooks St
Raleigh, MS 39153-6093
Phone (281) 678-2463

Other practice location 1

234 Magnolia Dr
Raleigh, MS 39153-6016
Phone (601) 374-8152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20260129002090 MS Practitioner - Clinical Social Worker 0143708339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hands to Healing LLCGroup PAC ID 4183089444, 3 clinicians

Practice addresses (Care Compare)

3823 Hwy 80 E
Suite 200
Pearl, MS 39208-4272
Phone (769) 223-3261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C9678MSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hands to Healing,LLC CurrentSince Jan 1, 2026 Accepting new patients
Corner Clinic Urgent Care LLC PastSince Jan 1, 2026 Accepting new patients

Locations

3823 Highway 80 E
Ste 200
Pearl, MS 39208
Phone (769) 223-3261

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": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765065600000",
    "number": "1841435708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 BROOKS ST",
            "city": "RALEIGH",
            "state": "MS",
            "postal_code": "391536093",
            "telephone_number": "281-678-2463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6106 RIVER MILL CT",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773796403",
            "telephone_number": "281-655-7118",
            "fax_number": "281-655-7118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Magnolia Dr",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "MS",
            "postal_code": "391536016",
            "country_code": "US",
            "telephone_number": "601-374-8152",
            "fax_number": "601-374-8153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "SHIRLEY",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MS",
            "license": "C9678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.