Individual ProviderAlison BootheSocial WorkerBehavioral Health & Social Service ProvidersPractice Address325 Il Route 2, Dixon, IL 61021-9118(815) 284-6611PECOS EnrollmentBased on the most recent information from CMS, provider Alison Boothe does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1750691192Provider TypeIndividualFull NameBoothe, AlisonCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date10/19/2010Last Updated9/13/2019Contact InformationPractice LocationPractice Address325 Il Route 2, Dixon, IL 61021-9118Phone(815) 284-6611Fax(815) 284-2834Mailing LocationMailing Address325 Il Route 2, Dixon, IL 61021-9118Phone(815) 284-6611Fax(815) 284-2834Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149020827Illinois