Active NPI
Susan Eileen Worth, M.ED.
- Psychologist
- Willow Grove, PA
National Provider Identifier
1316121718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS003702-L
- Practice address
- 1120 Easton Rd
Suite One
Willow Grove, PA 19090-1922 - Phone
- (215) 830-8430
- Fax
- (215) 830-8432
- NPI assigned
- Dec 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS003702-L | PA | Primary |
Addresses
Primary practice location
1120 Easton Rd
Suite One
Willow Grove, PA 19090-1922
Mailing address
1120 Easton Rd
Suite One
Willow Grove, PA 19090-1922
Phone (215) 830-8430
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS003702-L | PA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Family Development,LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Willow Grove, PA
- NPI 1639203904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198108800000",
"number": "1316121718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 EASTON RD",
"address_2": "SUITE ONE",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901922",
"telephone_number": "215-830-8430",
"fax_number": "215-830-8432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 EASTON RD",
"address_2": "SUITE ONE",
"city": "WILLOW GROVE",
"state": "PA",
"postal_code": "190901922",
"telephone_number": "215-830-8430",
"fax_number": "215-830-8432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WORTH",
"first_name": "SUSAN",
"middle_name": "EILEEN",
"name_prefix": "Ms.",
"credential": "M.ED.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-20",
"last_updated": "2007-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS003702-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Willow Grove, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.