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MR. CHAD A BOOTH LSW
NPI 1083802094
Social Worker - Clinical in Michigan City, IN

Active since October 04, 2007
450 SAINT JOHN RD, MICHIGAN CITY, IN 46360(219) 872-8666 Get Directions Write a Review

NPPES record last updated: October 4, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Chad A Booth Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. CHAD A BOOTH LSW (NPI 1083802094) is an individual clinical provider in Michigan City, Indiana, licensed in Indiana (33005318A) and active in the NPI registry since October 2007.

NPPES Registry Identity

NPI1083802094
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. CHAD A BOOTHCredential: LSW
Location Address450 SAINT JOHN RDMichigan City, IN 46360-7354
Mailing Address1072 Jesse Bartlett CtCrown Point, IN 46307-7515 · (219) 872-8666
Phone(219) 872-8666
Sole ProprietorNo
Enumeration DateOctober 4, 2007
✔ NPI 1083802094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 33005318A
Definition
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.
450 SAINT JOHN RD, Michigan City, IN 46360
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Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHERYL BARNES MSW
Social Worker (Clinical)
450 SAINT JOHN RD
MICHIGAN CITY, IN 46360
Laporte County (219) 879-4621
DR. EARLE CLIFTON TITUS PHD
Psychologist (Clinical)
450 SAINT JOHN RD
MICHIGAN CITY, IN 46360
Laporte County (219) 879-4621
ROSETTA MARIA DELOOF-PRIMMER LCSW
Social Worker (Clinical)
450 SAINT JOHN RD
MICHIGAN CITY, IN 46360
Laporte County (219) 879-0676
MRS. IMOJEANNE JOHNSON LCSW
Social Worker (Clinical)
450 SAINT JOHN RD, SUITE 501
MICHIGAN CITY, IN 46360
Laporte County (219) 362-2145
MARY HOLMAN RINI LCSW
Social Worker (Clinical)
450 SAINT JOHN RD, SUITE 602
MICHIGAN CITY, IN 46360
Laporte County (219) 872-8666
JENNIFER HOOPER LCSW
Social Worker (Clinical)
450 SAINT JOHN RD, SUITE 501
MICHIGAN CITY, IN 46360
Laporte County (219) 879-4621
MRS. JUDITH SPEVAK LCSW
Social Worker (Clinical)
450 SAINT JOHN RD, SUITE 501
MICHIGAN CITY, IN 46360
Laporte County (219) 879-0676
CAROL ANN LYONS RN
Registered Nurse
450 SAINT JOHN RD, SUITE 550
MICHIGAN CITY, IN 46360
Laporte County (219) 877-3203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chad Booth's NPI number?

The NPI number for Chad Booth is 1083802094. It was assigned to this individual provider in the NPPES registry on October 4, 2007.

Where is Chad Booth located?

Chad Booth practices at 450 Saint John Rd, Michigan City, IN 46360. The listed phone number is (219) 872-8666.

What is Chad Booth's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Chad Booth was last updated on October 4, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.