Shaelyn Worthen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

9879572-3501 Issued in UT

Practice address

5600 Heritage School Dr
Provo, UT 84604-7701

Phone

(801) 226-4600

NPI assigned

Sep 2, 2015

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

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.

• Heritage Schools, Inc

  • Psychiatric Residential Treatment Facility
  • Provo, UT
  • NPI 1578699468
  NPD (past)

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697500800000",
    "number": "1861869281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 HERITAGE SCHOOL DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047701",
            "telephone_number": "801-226-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 HERITAGE SCHOOL DR",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846047701",
            "telephone_number": "801-226-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORTHEN",
        "first_name": "SHAELYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-02",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "9879572-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Bowen Woozley, PA-C
• Words of Wisdom Counseling
• Emma Nicole Worley
• Michael C Worman, PHARMD
• Rosanna Marie Worthen
• Vaughn E Worthen, PH.D.
• Douglas K Worthington, AUD
• Austin Dennis Wride, FNP
• Dylan Wride
• Seth Wride

• Clinical Social Worker in Provo, UT
• Providers in Provo, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.