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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GRANT EDWARD BOOTH MSW, LICSW, ACSW
NPI 1972504728
Social Worker - Clinical in Saint Paul, MN

Active since August 02, 2005Opted out of Medicare · through Aug 15, 2026
1499 LINCOLN AVE, SAINT PAUL, MN 55105(651) 690-1542(651) 690-1451 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grant Edward Booth Msw, Licsw, Acsw NPPES

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

GRANT EDWARD BOOTH MSW, LICSW, ACSW (NPI 1972504728) is an individual clinical provider in Saint Paul, Minnesota, licensed in Minnesota (10829) and active in the NPI registry since August 2005. He has opted out of Medicare through August 15, 2026.

NPPES Registry Identity

NPI1972504728
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameGRANT EDWARD BOOTHCredential: MSW, LICSW, ACSW
Location Address1499 LINCOLN AVESaint Paul, MN 55105-2236
Mailing Address1499 Lincoln AveSaint Paul, MN 55105-2236 · (651) 690-1542 · Fax (651) 690-1451
Phone(651) 690-1542
Fax(651) 690-1451
Sole ProprietorNo
Enumeration DateAugust 2, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1972504728 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 MN · 10829
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.
1499 LINCOLN AVE, Saint Paul, MN 55105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Grant Edward Booth Msw, Licsw, Acsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 15, 2022 through August 15, 2026.

Opt-Out Effective DateAugust 15, 2022
Opt-Out In Effect ThroughAugust 15, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

GRANT BOOTH PA DBA BOOTH THERAPY
Clinic/Center (Mental Health (Including Community Mental Health Center))
1499 LINCOLN AVE
SAINT PAUL, MN 55105
Ramsey County (651) 690-1542

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 Grant Booth's NPI number?

The NPI number for Grant Booth is 1972504728. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Grant Booth located?

Grant Booth practices at 1499 Lincoln Ave, Saint Paul, MN 55105. The listed phone number is (651) 690-1542.

What is Grant Booth's specialty?

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

Is Grant Booth enrolled in Medicare?

No. Grant Booth has opted out of Medicare through August 15, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Grant Booth was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.