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

MS. Linda Jan Boothe, LCSW

Individual provider Clinical Social Worker · NPI 1912931502

MS. Linda Jan Boothe, LCSW is a Clinical Social Worker in Bayboro, North Carolina. Qualified in 1991, 35 years ago. Practices with Peterson Medical Clinics LLC, a 89-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Hawaii and North Carolina.

Years since qualifying
35
Licensed in
HI, NC
In the registry since
2006
Specialties on file
2
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

313 Main St
Bayboro, NC 28515-2851
Phone: (252) 745-2070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 56 Waianuenue Ave Ste 207, Hilo, HI 96720-2474 — (808) 934-7566

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C005619 (NC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 3349 (HI)

Record details

NPI number1912931502
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJuly 10, 2006
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 1, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Peterson Medical Clinics Llc — 89 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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