# SUSAN D WORTHEN

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912251091
- **Authorized official:** SUSAN D WORTHEN LICSW (SOLE PROPRIETOR)
- **Authorized official phone:** (401) 683-7460

## Contact information

- **Practice address:** 2444 E MAIN RD, PORTSMOUTH, RI 02871-4025
- **Practice address phone:** (401) 683-7460
- **Mailing address:** 2444 E MAIN RD, PORTSMOUTH, RI 02871-4025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 10/29/2012
- **Last updated:** 10/29/2012