Mr Jerry L Worthington, LICDC, LSW is a
Social Worker - Clinical based in Columbus, Ohio. Mr Jerry L Worthington is licensed to practice in Ohio (license number S-0001485) and his current practice location is
11 Buttles Ave, Columbus, Ohio. He can be reached at his office (for appointments etc.) via phone at
(614) 228-7275.
NPI number for Mr Jerry L Worthington is 1730269358 and his current mailing address is 11 Buttles Ave, Columbus, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1730269358.
Healthcare Provider's Profile
| Full Name | Mr Jerry L Worthington |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 11 Buttles Ave, Columbus, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1730269358
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Jerry L Worthington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1730269358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 852134 (Ohio) | Primary |
| 1041C0700X | Social Worker - Clinical | S-0001485 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jerry L Worthington is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Jerry L Worthington, LICDC, LSW
11 Buttles Ave,
Columbus, OH 43215-1450
Ph: (614) 228-7275 | Mr Jerry L Worthington, LICDC, LSW
11 Buttles Ave,
Columbus, OH 43215-1450
Ph: (614) 228-7275 |
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