Okwuchi Lilian Worthem
Individual provider Active NPI Social Worker · Thaxton, MS
NPI 1467337063 · NPPES record last updated Aug 11, 2025
Key facts
- NPI
- 1467337063
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- M114499 (MS)
- Practice address
- 13970 Highway 6
Thaxton, MS 38871-1006 - Phone
- (919) 757-6312
- NPI assigned
- Aug 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M114499 | MS | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | M114499 | MS | Yes |
Addresses
Primary practice location
13970 Highway 6
Thaxton, MS 38871-1006
Mailing address
13970 Highway 6
Thaxton, MS 38871-1006
Phone (919) 757-6312
Other providers in Thaxton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.