MISS GWENDOLYN WORSHAM (NPI# 1194864330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194864330 |
| Entity Type | Individual |
| Full Name | MISS GWENDOLYN WORSHAM |
| Practice Address |
893 Highway 64 Augusta AR 72006-5119 |
| Mailing Address |
1101 Woodruff Augusta AR 72006 |
| Practice Telephone | 8703475906 |
| Practice Fax Number | 8703471457 |
| Mailing Telephone | 8703471436 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
893 HIGHWAY 64 |
| City | AUGUSTA |
| State | AR |
| Zip Code | 72006-5119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861506271 | Lee Harlan | Social Worker | 893 Highway 64, Augusta, AR 72006-5119 | 2006-08-19 |
| 1932346368 | Health Resources of Arkansas, Inc. | Community/Behavioral Health | 893 Highway 64, Augusta, AR 72006-5119 | 2009-01-07 |
| 1629223334 | Chester Lewis Spears | Case Manager/Care Coordinator | 893 Highway 64, Augusta, AR 72006-5119 | 2008-11-21 |
| 1275792640 | Aretha Poindexter | Case Manager/Care Coordinator | 893 Highway 64, Augusta, AR 72006-5119 | 2008-06-02 |
| 1477693935 | Sheila Chanell Shannon | Case Manager/Care Coordinator | 893 Highway 64, Augusta, AR 72006-5119 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861530362 | Wallace Jean Trice | Case Manager/Care Coordinator | 64 East Hwy, Augusta, AR 72006 | 2007-02-05 |
| 1275635542 | Arcare | Clinic/Center | 117 S 2nd St, Augusta, AR 72006 | 2006-09-05 |
| 1013928381 | Audra M Hamilton | Dental Hygienist | 623 N 9th Street, Augusta, AR 72006 | 2006-08-11 |
| 1013932714 | Steven F Collier Md Pa | Family Medicine | 106 South 2nd Street, Augusta, AR 72006 | 2006-07-13 |
| 1558396119 | Steve D Chason | Dentist | 216 S Second St, Augusta, AR 72006 | 2006-07-12 |
| 1790718906 | Jesse D Moore Md | Family Medicine | Highway 64 East, Augusta, AR 72006 | 2006-07-09 |
| 1053553024 | Jaime L Whitehead | Nurse Practitioner | 800 Main St, Augusta, AR 72006 | 2009-04-06 |
| 1023170305 | Katina Briscoe | Nurse Practitioner | 400 Highway 64 E, Augusta, AR 72006 | 2006-12-14 |
| 1578640785 | Doris R Wright | Pharmacy Technician | 111 Main Street, Cotton Plant, AR 72006 | 2006-11-01 |
| 1538268081 | Jaymie Frances Hopkins | Counselor | 623 N 9th Street, Augusta, AR 72006 | 2006-09-21 |
| Find all providers in zip 72006 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720624844 | Marie Bullock | Case Manager/Care Coordinator | 128 Sims Ct, Augusta, GA 30909-9014 | 2019-11-24 |
| 1063876407 | Maxlife Therapeutic Solutions Inc | Case Manager/Care Coordinator | 204b Pitcarin Way, Suite #1, Augusta, GA 30909-5766 | 2016-04-12 |
| 1952703068 | Connie Patten | Case Manager/Care Coordinator | 2821 Brookside Dr., Augusta, KS 67010 | 2014-09-19 |
| 1841607199 | Eleanor Willingham | Case Manager/Care Coordinator | 2225 Woodbluff Way, Augusta, GA 30909-2093 | 2014-07-18 |
| 1982018370 | Stacy L Willis | Case Manager/Care Coordinator | 1007 Caddenwoods Dr, Augusta, GA 30906-5618 | 2014-06-13 |
| 1568885119 | Larictor Tomlin | Case Manager/Care Coordinator | 1871 Heathers Way, Augusta, GA 30906-8110 | 2014-01-31 |
| 1275809576 | Jeanette Diane Wiggleton | Case Manager/Care Coordinator | 3216 Peninsula Dr, Augusta, GA 30909-0603 | 2012-03-30 |
| 1942588587 | Agape Living LLC | Case Manager/Care Coordinator | 1840 Phinizy Rd, Augusta, GA 30906-5144 | 2011-08-01 |
| 1285922823 | Cathy Kelsey | Case Manager/Care Coordinator | 704 Hall St, Augusta, GA 30901-3010 | 2011-07-18 |
| 1841400082 | Shlonda Brown Smith | Case Manager/Care Coordinator | 1928 Kissingbower Rd, Augusta, GA 30904-5158 | 2007-05-23 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.