Individual
MRS. CAROL ANN WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
808 S MAIN ST STE C, COLUMBIA, IL 62236-2499
(618) 327-7130
(888) 690-4813
Mailing address
402 CYPRESS CREEK RD, COLLINSVILLE, IL 62234-1947
(618) 977-5108
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
150015239
IL
1041C0700X
Clinical Social Worker
Primary
149.020628
IL
1041C0700X
Clinical Social Worker
149020628
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370968305002
—
IL
Enumeration date
03/23/2017
Last updated
01/23/2024
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