Wormack, Raymond Daniel
Wormack, Raymond Daniel is an sole proprietor health care provider with primary practice located at 201 E Fairview Ave , Connellsville PA 15425-3703. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Wormack, Raymond Daniel can be contacted via phone (724) 626-2171.Contact Information
Primary practice address
201 E Fairview Ave
Connellsville PA 15425-3703
Phone: (724) 626-2171
Fax: (724) 620-0915
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | SW124221 | Pennsylvania |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | CW018114 |
Profile Details
NPI number | 1841419546 |
---|---|
LBN Legal business name | Wormack, Raymond Daniel |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 24th, 2007 |
Last updated | Oct 7th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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