Individual provider Active NPI

Linda Sue Worp, MS, CCC-SLP

  • Speech-Language Pathologist
  • Wake Forest, NC
National Provider Identifier
1629235122
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
8001 Issued in NC
Practice address
406 Bakewell CT
Wake Forest, NC 27587-7468
Phone
(919) 390-4485
Fax
(920) 756-6788
NPI assigned
May 21, 2008
Last updated
May 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 8001 NC Primary

Addresses

Primary practice location

406 Bakewell CT
Wake Forest, NC 27587-7468

Mailing address

406 Bakewell CT
Wake Forest, NC 27587-7468
Phone (919) 390-4485

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 Science

State licenses

LicenseStateTypeSpecialty
8001NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest Speech Therapy Speech-Language Pathologist 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1629235122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 BAKEWELL CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877468",
            "telephone_number": "919-390-4485",
            "fax_number": "920-756-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 BAKEWELL CT",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275877468",
            "telephone_number": "919-390-4485",
            "fax_number": "920-756-6788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORP",
        "first_name": "LINDA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.