Provider Demographics
NPI:1891858601
Name:MARY M BOOKER
Entity Type:Organization
Organization Name:MARY M BOOKER
Other - Org Name:SOCIAL WORKERS UNITED IN PARTNERSHIP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:MINOR
Authorized Official - Last Name:BOOKER
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW-IPR
Authorized Official - Phone:713-240-6311
Mailing Address - Street 1:3100 SANDPIPER DR
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-1929
Mailing Address - Country:US
Mailing Address - Phone:713-240-6311
Mailing Address - Fax:832-217-3142
Practice Address - Street 1:3100 SANDPIPER DR
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-1929
Practice Address - Country:US
Practice Address - Phone:713-240-6311
Practice Address - Fax:832-217-3142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX26110251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0660490-03Medicaid