MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I) – Clinical Social Worker, NPI 1104477538

MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I) is a healthcare provider. based in Austin, Texas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW, MSW, LCDC-I. They hold a License No. 45169 (TX). The NPI Number for MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I) is 1104477538

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I)
NPI
1104477538
Phone
(512) 697-8500
Address
4201 S CONGRESS AVE STE 202
Enumeration Date
26 September 2019
Last Update Date
29 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5127100551
Graduation Year
2019 (7 years ago)
PAC ID
6002298429
Group Practice PAC ID
2163728692
Professional Enrollment ID
I20220802002131
Address ID
TX787465246WE5524XRDXX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:6State licenses:2Digital endpointsOther names

2,555 CLINICAL SOCIAL WORKER in TX

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Provider Addresses for MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I)

  • 202, Congress Avenue, Downtown, Austin, Travis County, Texas, 78701, United States

    AUSTIN, TX 787451156

    Phone: (512) 697-8500

    Type: Mailing

  • 5524 BEE CAVES RD STE K4

    WEST LAKE HILLS, TX 787465247

    Phone: (512) 710-0551

    Fax: (512) 717-6337

    Type: Mailing

  • PO BOX 3041

    MARBLE FALLS, TX 786543077

    Phone: (512) 710-0551

    Fax: (512) 717-6337

    Type: Mailing

  • 5524 BEE CAVES RD STE H2

    WEST LAKE HILLS, TX 787465246

    Phone: (512) 710-0551

    Fax: (512) 717-6337

    Type: Location

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: 2022-08-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220802002131IClinical Social WorkerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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 78745)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2163728692View full group profile
NameSpecialtyState
Nurse PractitionerTX
-TX
Clinical Social WorkerTX
-TX
Clinical Social WorkerOH
Clinical Social WorkerTX
Mental Health CounselorTX
Mental Health CounselorTX
Clinical Social WorkerTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is there an official ID for MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I) in U.S. healthcare records?
The official identifier for MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I) is NPI 1104477538.
Is there an active status for MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I)?
For scheduling context, MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I) is shown as active in the registry.
What clinical focus is listed for MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I)?
At a glance, MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I) is tied to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I) located near Austin?
MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I) currently maps to Austin, Texas in this extract.
Does MR. WILLIAM BOOTH (LCSW, MSW, LCDC-I) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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