MS. LINDA JAN BOOTHE (LCSW) – Clinical Social Worker, NPI 1912931502
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
245 CLINICAL SOCIAL WORKER in HI
Provider Addresses for MS. LINDA JAN BOOTHE (LCSW)
56 Waianuenue Ave Ste 207
Hilo, HI 967202474
Phone: (808) 934-7566
Type: Location
2939, Ainaola Drive, Hilo, Hawaiʻi County, Hawaii, 96720, United States
HILO, HI 967203532
Phone: (808) 959-1276
Type: Mailing
56 WAIANUENUE AVE STE 207
HILO, HI 967202474
Phone: (808) 934-7566
Type: Location
313 MAIN ST
BAYBORO, NC 285152851
Phone: (252) 745-2070
Type: Location
7 PROFESSIONAL DR
SNOW HILL, NC 285801332
Phone: (252) 747-8162
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20230125002210 | I | Clinical Social Worker | NC | TBD |
| I20240730004341 | I | Clinical Social Worker | FL | TBD |
| I20240802003540 | I | Clinical Social Worker | CA | TBD |
| I20241105001281 | I | Clinical Social Worker | MN | TBD |
| I20241117000079 | I | Clinical Social Worker | TX | TBD |
| I20241126003355 | I | Clinical Social Worker | ND | TBD |
| I20250502002879 | I | Clinical Social Worker | SD | TBD |
| I20250512000768 | I | Clinical Social Worker | AK | TBD |
| I20250611003770 | I | Clinical Social Worker | MT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96720)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | ND | |
| P S Y C H I A T R Y | AK | |
| Physician Assistant | ND | |
| Mental Health Counselor | ND | |
| Physician Assistant | CO | |
| Physician Assistant | PA | |
| Nurse Practitioner | ND | |
| Physician Assistant | ND | |
| Nurse Practitioner | AK | |
| Clinical Social Worker | ND |
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