Individual provider Active NPI

Tyler Booth, LCSW

  • Social Worker
  • East Hartford, CT
National Provider Identifier
1962410811
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
006155 Issued in CT
Practice address
281 Main St
East Hartford, CT 06118-1883
Phone
(860) 569-5900
NPI assigned
Aug 4, 2006
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 006155 CT Primary

Addresses

Primary practice location

281 Main St
East Hartford, CT 06118-1883

Mailing address

281 Main St
East Hartford, CT 06118-1883
Phone (860) 569-5900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006155CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Intercommunity, Inc. CurrentSince Jun 19, 2018 Accepting new patients
Intercommunity, Inc. CurrentSince Apr 20, 2016 Accepting new patients
Alcohol & Drug Recovery Centers, Inc Current Accepting new patients
Intercommunity, Inc. CurrentSince Nov 1, 2007 Accepting new patients

Locations

111 Founders Plz
Ste 1802
East Hartford, CT 06108
Phone 8605695900326

281 Main St
East Hartford, CT 06118
Phone (860) 291-1335

16 Coventry St
Hartford, CT 06112
Phone (860) 714-3701

800 Connecticut Blvd
Fl 4
Hartford, CT 06108
Phone (860) 622-5451

Organizations & group practices 4

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1962410811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "281 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181883",
            "telephone_number": "860-569-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "281 MAIN ST",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061181883",
            "telephone_number": "860-569-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOOTH",
        "first_name": "TYLER",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CT",
            "license": "006155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

Verify at the official NPI Registry.