Wormack Caring Place Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WORMACK CARING PLACE CORP

Doing business as

WCPC

Practice address

201 E Fairview Ave Ste 101a
Connellsville, PA 15425-3703

Phone

(724) 626-2171

NPI assigned

Apr 9, 2024

Last updated

Apr 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Raymond WormackNPI 1841419546

Title

LCSW

Phone

(724) 570-3556

Specialties & licenses 5

Addresses

Other names 1

• WCPC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond Daniel Wormack, LCSW

  • Clinical Social Worker
  • Connellsville, PA
  • NPI 1841419546
  Authorized official Same address or phone

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1801649801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E FAIRVIEW AVE STE 101A",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253703",
            "telephone_number": "724-626-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E FAIRVIEW AVE STE 101A",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253703",
            "telephone_number": "724-626-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORMACK CARING PLACE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "WORMACK",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "724-570-3556"
    },
    "taxonomies": [
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WCPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Wesclare Corporation (Nickman's Drug #119)
• Dawn Lorraine Wilhelm, LCSW
• Richonda Williams
• Tyler Williams
• Michael Brent Wilson, PHARM.D.
• Wormack Inc.
• Raymond Daniel Wormack, LCSW
• Alex Yazhbin, M.D.

• Community/Behavioral Health Agency in Connellsville, PA
• Providers in Connellsville, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.