NPI 1083802094

Chad a Booth, LSW

Practitioner Clinical Social Worker Michigan City, IN

Practice location

Address: 450 Saint John Rd, Michigan City, IN 46360-7354
Phone: (219) 872-8666
Mailing address: 1072 Jesse Bartlett CT, Crown Point, IN 46307-7515

Registered specialties

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 33005318A (IN)

Other Social Worker providers in Indiana →

Registry record

NPI: 1083802094
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Oct 2007
Record last updated: 4 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.