Individual provider Active NPI

Susan Worthington-Duffy, MA, ATR-BC, LPC

  • Professional Counselor
  • Oaklyn, NJ
National Provider Identifier
1750758678
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC007590 Issued in PA
Practice address
304 Newton Ave
Suite 100
Oaklyn, NJ 08107-1446
Phone
(215) 768-0597
Fax
(856) 858-2866
NPI assigned
Aug 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC007590 PA Primary

Addresses

Primary practice location

304 Newton Ave
Suite 100
Oaklyn, NJ 08107-1446

Mailing address

48 Harding Ave
Oaklyn, NJ 08107-1532
Phone (215) 768-0597

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 Arts

State licenses

LicenseStateTypeSpecialty
PC007590PAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440547200000",
    "number": "1750758678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HARDING AVE",
            "city": "OAKLYN",
            "state": "NJ",
            "postal_code": "081071532",
            "telephone_number": "215-768-0597",
            "fax_number": "856-858-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 NEWTON AVE",
            "address_2": "SUITE 100",
            "city": "OAKLYN",
            "state": "NJ",
            "postal_code": "081071446",
            "telephone_number": "215-768-0597",
            "fax_number": "856-858-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHINGTON-DUFFY",
        "first_name": "SUSAN",
        "credential": "MA, ATR-BC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oaklyn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.