Christian Bianca Booker

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005509 Issued in GA

Practice address

944 Kings Bay Rd. #247
St. Marys, GA 31558

Phone

(912) 387-2407

Fax

(912) 387-2407

NPI assigned

Sep 27, 2019

Last updated

Sep 27, 2019By the provider in NPPES

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

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.

• The Catalyst Counseling & Consulting, LLC

  • Clinical Social Worker
  • Kingsland, GA
  • NPI 1063055085
  Authorized official Same address or phone

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1922659192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 KINGS BAY RD. #247",
            "city": "ST. MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-387-2407",
            "fax_number": "912-387-2407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "944 KINGS BAY RD. #247",
            "city": "ST. MARYS",
            "state": "GA",
            "postal_code": "31558",
            "telephone_number": "912-387-2407",
            "fax_number": "912-387-2407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOKER",
        "first_name": "CHRISTIAN",
        "middle_name": "BIANCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Blakney
• William Dale Blanton, LPC
• Anne Blashinsky, RBT
• Body Mind Healing LLC
• Benjamin A Bograd, D.O.
• Erin E Borowski, AA
• Britney Boucher, RBT
• Whitney Burkhalter Bounds, MSW
• Jasmine Holguin Bowman
• Natalie Wood Brace, PA-C

• Clinical Social Worker in Saint Marys, GA
• Providers in Saint Marys, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.