Individual
MRS. SHERRY L WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
1919 N AMIDON AVE, STE. 130, WICHITA, KS 67203-2117
(316) 660-7675
(316) 838-0231
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7675
(316) 832-1571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3944
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200430950A
—
KS
01
—
843998
BLUE CROSS BLUE SHIELD
KS
Enumeration date
07/25/2006
Last updated
01/14/2011
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