Worthington, Jill Anne

Worthington, Jill Anne is an individual health care provider with primary practice located at 1062 State Route 38 , Owego NY 13827. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Worthington, Jill Anne can be contacted via phone (607) 687-4000.

Contact Information

Primary practice address
1062 State Route 38 Owego NY 13827
Fax: (607) 687-6396
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R053330-1 New York

Profile Details

NPI number 1851491658
LBN Legal business name Worthington, Jill Anne
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Oct 1st, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851491658 NPPES
New York Other R053330-1 LCSW

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