Erica Nichole Wortherly, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ISW11116 Issued in FL

Practice address

PO Box 5616
Jacksonville, FL 32247-5616

Phone

(904) 207-9573

NPI assigned

Jul 24, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1500854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1043733801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2443 WHISPERING WOODS BLVD APT 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322469502",
            "telephone_number": "904-207-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 5616",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322475616",
            "telephone_number": "904-207-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHERLY",
        "first_name": "ERICA",
        "middle_name": "NICHOLE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-24",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ISW11116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keina Bryant Worrell
• Betty Worri, M.D
• Elizabeth Anne Worsham, M.D.
• Gregory M Worsowicz, MD
• Karen Worth
• Ashley Worthington, CRDH
• Kristina Worthington, MSH, RD, CSSD, LD/N
• Rachel Gould Worthington
• Worthy Wellbeing, LLC
• Constance Hunt Worthy, LMHC

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.