MARY VICTORIA BOOTH LCSW
NPI 1972778793
Social Worker - Clinical in Sacramento, CA

Active since April 23, 2008Opted out of Medicare · through Jul 1, 2027
2015 21ST ST, 104, SACRAMENTO, CA 95818(916) 451-0310 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Victoria Booth Lcsw NPPES

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

MARY VICTORIA BOOTH LCSW (NPI 1972778793) is an individual clinical provider in Sacramento, California, licensed in California (LCS6313) and active in the NPI registry since April 2008. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972778793
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY VICTORIA BOOTHCredential: LCSW
Location Address2015 21ST ST, 104Sacramento, CA 95818-1752
Mailing Address2015 21st St, 104Sacramento, CA 95818-1752 · (916) 451-0310
Sole ProprietorYes
Enumeration DateApril 23, 2008
Last NPPES UpdateOctober 5, 2010
NPI 1972778793 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 CA · LCS6313
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.

2015 21ST ST, Sacramento, CA 95818

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mary Victoria Booth Lcsw 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 July 1, 2013 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2013
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95818 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.44 – $180.85
Typical copayment $0.00 (range $15.11 – $45.21)
Most-billed visit code NA
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Marriage & Family Therapist
2015 21ST ST, SUITE 306
SACRAMENTO, CA 95818
Social Worker (Clinical)
2015 21ST ST, SUITE 205
SACRAMENTO, CA 95818
Marriage & Family Therapist
2015 21ST ST, SUITE 303
SACRAMENTO, CA 95818
Marriage & Family Therapist
2015 21ST ST, #202
SACROMENTO, CA 95818
Social Worker (Clinical)
2015 21ST ST, SUITE # 205
SACRAMENTO, CA 95818
Marriage & Family Therapist
2015 21ST ST, STE. 305
SACRAMENTO, CA 95818
Psychologist
2015 21ST ST, SUITE 101
SACRAMENTO, CA 95818
Psychologist
2015 21ST ST, SUITE 400
SACRAMENTO, CA 95818

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 Mary Booth's NPI number?

The NPI number for Mary Booth is 1972778793. It was assigned to this individual provider in the NPPES registry on April 23, 2008.

Where is Mary Booth located?

Mary Booth practices at 2015 21st St 104, Sacramento, CA 95818. The listed phone number is (916) 451-0310.

What is Mary Booth's specialty?

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

Is Mary Booth enrolled in Medicare?

No. Mary Booth has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary Booth was last updated on October 5, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.