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
Fax: (724) 620-0915
Website:

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Popular Providers