Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Krystal Marie Boothe, LCSW

Individual provider Clinical Social Worker · NPI 1043488414

Mrs. Krystal Marie Boothe, LCSW is a Clinical Social Worker in Pasadena, California. Qualified in 2011, 15 years ago. Practices as a sole proprietor, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2008
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

117 E Colorado Blvd
Pasadena, CA 91105-1938
Phone: (661) 402-1545
Fax: (661) 727-0006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1050 Lakes Dr, West Covina, CA 91790-2924 — (310) 621-0150

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LCSW71811 (CA)

Record details

NPI number1043488414
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedFebruary 19, 2008
Last updated in NPPESApril 4, 2025
Certification dateApril 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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