Imogen Wormwood

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Practice address

4415 Sonoma Hwy
Santa Rosa, CA 95409-7100

Phone

(707) 327-0909

NPI assigned

May 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1669046389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 SEBASTOPOL AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954018502",
            "telephone_number": "707-766-4810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4415 SONOMA HWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954097100",
            "telephone_number": "707-327-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORMWOOD",
        "first_name": "IMOGEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-17",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roseanna Woods, L.AC.
• Milton Herman Woolley, M.F.T
• Timothy J Worden, PH.D.
• Worldworks Unlimited
• James Nicholas Worledge, M.D.
• Garyn Worrall, MD
• Alicia Wortman, DPT
• Ericka Wotring
• Wright Elementary District
• Wright Elementary School District

• Local Education Agency (LEA) in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Local Education Agency (LEA) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.