ELIZABETH BOOTH (NPI# 1699982694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699982694 |
| Entity Type | Individual |
| Full Name | ELIZABETH BOOTH |
| Credential | MSSW |
| Practice Address |
1118 Professional Dr Dodgeville WI 53533-1176 |
| Practice Telephone | 6089352838 |
| Practice Fax Number | 6089359227 |
| Mailing Telephone | 6089352838 |
| Mailing Fax Number | 6089359227 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2015-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
126731 | WI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912987322 | Elizabeth J Booth | Nurse Practitioner | 632 Prospect Ave, Scranton, PA 18505 | 2006-01-20 |
| 1447744883 | Elizabeth A Booth | Case Manager/Care Coordinator | 117 W High St, Mount Vernon, OH 43050-2425 | 2018-06-19 |
| 1699804070 | Elizabeth Thrasher Booth | Dentist | 1021 19th St S, Birmingham, AL 35205-4803 | 2007-03-03 |
| 1275618506 | Elizabeth Anne Booth | Social Worker | 199 W High St, Somerville, NJ 08876-1817 | 2006-10-26 |
| Street Address |
1118 PROFESSIONAL DR |
| City | DODGEVILLE |
| State | WI |
| Zip Code | 53533-1176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316916117 | Lori Kuntz | Social Worker | 1118 Professional Dr, Dodgeville, WI 53533-1176 | 2006-03-15 |
| 1346598505 | Michelle Leigh Riemer | Social Worker | 1118 Professional Dr, Dodgeville, WI 53533-1176 | 2012-08-20 |
| 1558694125 | Eric Tabamo Guzman | Marriage & Family Therapist | 1118 Professional Dr, Dodgeville, WI 53533-1176 | 2009-09-14 |
| 1780882530 | David Eric Wilsher | Counselor | 1118 Professional Dr, Dodgeville, WI 53533-1176 | 2007-07-03 |
| 1376665489 | Corey A Lewis | Counselor | 1118 Professional Dr, Dodgeville, WI 53533-1176 | 2007-04-06 |
| 1235236373 | Ruth M Waters | Social Worker | 1118 Professional Dr, Dodgeville, WI 53533-1176 | 2006-09-20 |
| 1770599078 | Uplands Counseling Associates, Inc. | Clinic/Center | 1118 Professional Dr, Dodgeville, WI 53533-1176 | 2006-07-31 |
| 1518971324 | Christine Chiye Tsubokura | Counselor | 1118 Professional Dr, Uplands Counseling Assoc, Dodgeville, WI 53533-1176 | 2006-07-28 |
| 1487676474 | Jean Ann Warrior | Psychologist | 1118 Professional Dr, Dodgeville, WI 53533-1176 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437361706 | Jeffrey Scott Wilton | Dentist | 103 E Fountain St, Dodgeville, WI 53533 | 2007-05-07 |
| 1134253420 | Southwest Dental Associates, S.c. | Clinic/Center | 1208 Joseph Street, Dodgeville, WI 53533 | 2007-03-16 |
| 1750420170 | Michael Charles Fisher | Dentist | 1208 North Joseph Street, Dodgeville, WI 53533 | 2007-02-05 |
| 1225191901 | Wal-mart Stores East, Lp | Technician/Technologist | 601 Leffler St., Dodgeville, WI 53533 | 2006-12-18 |
| 1164458626 | Laura Jean Gjestson | Counselor | 829 S Iowa St, Dodgeville, WI 53533 | 2006-06-24 |
| 1235602517 | Lauren Rae Bakken Olinger | Respiratory Therapist, Registered | 800 Compassion Way, Cardio Pulmonary, Dodgeville, WI 53533 | 2019-01-09 |
| 1124400627 | Katherine J Ponsler | Physician Assistant | 833 S Iowa St, Ste 102, Dodgeville, WI 53533 | 2015-06-22 |
| 1326458803 | Jenifer Lynn Dankyi | Obstetrics & Gynecology | 800 Compassion Way, Dodgeville, WI 53533 | 2014-05-06 |
| 1063430593 | Young I Kim | Surgery | 833 S Iowa St, Suite 106, Dodgeville, WI 53533 | 2006-07-17 |
| 1417226325 | Jaimee Jordan | Dietitian, Registered | 800 Compassion Way, Dodgeville, WI 53533-0800 | 2011-12-21 |
| Find all providers in zip 53533 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316916117 | Lori Kuntz | Social Worker | 1118 Professional Dr, Dodgeville, WI 53533-1176 | 2006-03-15 |
| 1346598505 | Michelle Leigh Riemer | Social Worker | 1118 Professional Dr, Dodgeville, WI 53533-1176 | 2012-08-20 |
| 1235236373 | Ruth M Waters | Social Worker | 1118 Professional Dr, Dodgeville, WI 53533-1176 | 2006-09-20 |
| 1740202944 | John C Puls | Social Worker | 1122 Professional Dr, Dodgeville, WI 53533-1176 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306446257 | Richard Harry Goldberg | Social Worker | 1514 Wood Ln, Madison, WI 53705-1457 | 2020-10-29 |
| 1710586219 | Megan Beckler | Social Worker | 49 Kessel Ct Bldg 25, Madison, WI 53711-6200 | 2020-10-26 |
| 1912506908 | Compassionate Clinical Services, LLC | Social Worker | 1314 S 1st St # 210, Milwaukee, WI 53204-2405 | 2020-10-20 |
| 1326655564 | Ryan Joseph Jones | Social Worker | 904 Angelo Rd, Sparta, WI 54656-1416 | 2020-09-30 |
| 1841805033 | Alyssa Kress | Social Worker | 3805 Mount View Ave Apt 17, Weston, WI 54476-6449 | 2020-09-14 |
| 1659986560 | Association of Community Empowerment, LLC | Social Worker | 3500 N Sherman Blvd Ste 303, Milwaukee, WI 53216-3463 | 2020-09-09 |
| 1316550205 | Ellice Plant | Social Worker | 2643 N Newhall St, Milwaukee, WI 53211-3517 | 2020-08-28 |
| 1609488634 | Megan Wrenn | Social Worker | 1211 County Road I, Hudson, WI 54016-6916 | 2020-08-20 |
| 1801407895 | Maxine Fran Rabinowe | Social Worker | 1943 N Summit Ave Apt 14, Milwaukee, WI 53202-1386 | 2020-08-12 |
| 1275143521 | Sara Kay Zwieg | Social Worker | 851 Rogers St, Milton, WI 53563-1767 | 2020-08-02 |
| Find all providers with the same taxonomy | ||||
| City | DODGEVILLE |
| Zip Code | 53533 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.