Individual provider Active NPI

Amanick Boothe, LCSW

  • Clinical Social Worker
  • Hollywood, FL
National Provider Identifier
1992584312
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24447 Issued in FL
Practice address
7777 Davie Road Ext Ste 302B
Hollywood, FL 33024-2503
Phone
(954) 852-1997
Fax
(954) 852-1998
NPI assigned
Sep 25, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW010062 GA
Clinical Social Worker 1041C0700X 1615 SC
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X SW24447 FL Primary

Addresses

Primary practice location

7777 Davie Road Ext Ste 302B
Hollywood, FL 33024-2503

Mailing address

7777 Davie Road Ext Ste 302B
Hollywood, FL 33024-2503
Phone (954) 852-1997

Other practice location 1

1001 N Miami Beach Blvd
North Miami Beach, FL 33162-3842
Phone (786) 320-5559

Other names 1

  • Boothe Supportive Solutions LLC Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20260216002468 FL Practitioner - Clinical Social Worker 9436639788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW24447FLMDClinical Social Worker
CSW010062GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Feb 1, 2026 Accepting new patients
G.R.O.W.T.H. Counseling and Therapy Past Accepting new patients

Locations

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1992584312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 DAVIE ROAD EXT STE 302B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242503",
            "telephone_number": "954-852-1997",
            "fax_number": "954-852-1998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 DAVIE ROAD EXT STE 302B",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242503",
            "telephone_number": "954-852-1997",
            "fax_number": "954-852-1998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N Miami Beach Blvd",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331623842",
            "country_code": "US",
            "telephone_number": "786-320-5559",
            "fax_number": "786-796-1021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOTHE",
        "first_name": "AMANICK",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW010062",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "1615",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BOOTHE",
            "last_name": "SOLUTIONS LLC",
            "middle_name": "SUPPORTIVE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.