Active NPI
Amanick Boothe, LCSW
- Clinical Social Worker
- Hollywood, FL
National Provider Identifier
1992584312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW24447
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW24447 | FL | MD | Clinical Social Worker |
| CSW010062 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current | 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.
-
- Community/Behavioral Health Agency
- North Miami Beach, FL
- NPI 1669094686
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.