Carly R. Booth, MSW LCAS
NPI 1134745516ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Shallotte, NC
Counselor, Addiction (Substance Use Disorder) (MSW LCAS) in Shallotte, North Carolina, with an NPI issued in June 2020.
Overview
| NPI | 1134745516 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSW LCAS |
| Sole proprietor | No |
| NPI issued | Jun 22, 2020 |
| Last updated in NPPES | Dec 4, 2023 |
| Certified by provider | Dec 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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