Dave Wortley, LCMHC, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

332 Issued in NH

Practice address

540 Chestnut St
Suite 102
Manchester, NH 03101-1447

Phone

(603) 668-7744

Fax

(603) 668-2605

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• James J Foster & Associates, LTD

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1790104982
  NPD (past)
• James J. Foster & Associates, LTD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, NH
  • NPI 1093931479
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760608111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CHESTNUT ST",
            "address_2": "SUITE 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011447",
            "telephone_number": "603-668-7744",
            "fax_number": "603-668-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 CHESTNUT ST",
            "address_2": "SUITE 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031011447",
            "telephone_number": "603-668-7744",
            "fax_number": "603-668-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTLEY",
        "first_name": "DAVE",
        "credential": "LCMHC, PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30424909",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Chris Wormell, BA
• Nina Worsley, RN
• Heather Worster, BS
• Melissa Katherine Worth, APRN
• Alysha Ryann Worthley
• Kathryn Wrenn-Kleiman, RD LD
• Elizabeth Wright
• Kaelin Reilly Wright, BA
• Andrew Wu, MD
• Grada Johanna Wunderl

• Mental Health Counselor in Manchester, NH
• Providers in Manchester, NH by specialty
• Mental Health Counselor in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.