Angellica Marie Wentworth

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

4146 Highway 278 NE
Covington, GA 30014-2494

Phone

(770) 787-3788

NPI assigned

Jun 12, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Asfc Outreach Therapeutic Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Covington, GA
  • NPI 1508051178
  NPD (past)
• Therapeutic Impressions LLC

  • Clinical Social Worker
  • Cumming, GA
  • NPI 1134661945
  NPD (past)

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1831682020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 WALTHER BLVD APT 2714",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438437",
            "telephone_number": "404-285-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4146 HIGHWAY 278 NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142494",
            "telephone_number": "770-787-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENTWORTH",
        "first_name": "ANGELLICA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roland Orvil Webster IV, DPT
• Katherine Weger, PA-C
• Dawn Alicia Wells, MFP-C
• Wellstreet of Georgia PC
• Wellstreet of Georgia PC
• Andrea Mae Westmoreland, LMSW
• Wheels That Heals LLC
• Harold William White
• Tomar White
• Denesha Whitley

• Marriage & Family Therapist in Covington, GA
• Providers in Covington, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; 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.