Worthington, Alice-Marie

Worthington, Alice-Marie is an individual health care provider with primary practice located at 13 Ne 36Th Ave , Ocala FL 34470-1302. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Worthington, Alice-Marie can be contacted via phone (352) 680-9416.

Contact Information

Primary practice address
13 Ne 36Th Ave Ocala FL 34470-1302
Phone: (352) 680-9416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 24323 Indiana
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH8339 Florida

Profile Details

NPI number 1912975475
LBN Legal business name Worthington, Alice-Marie
Credentials CAGS, MAEP, NAFC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated May 31st, 2013 - about 13 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 1912975475 NPPES
Florida MEDICAID 766222000

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