CHARLES WORTMAN (NPI# 1265690861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265690861 |
| Entity Type | Individual |
| Full Name | CHARLES WORTMAN |
| Credential | BA, CAC |
| Practice Address |
100 New Salem Rd Uniontown PA 15401-8936 |
| Practice Telephone | 7244383576 |
| Practice Fax Number | 7244383305 |
| Mailing Telephone | 7244383576 |
| Mailing Fax Number | 7244383305 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265666515 | Charles Grady Wortman | Military Health Care Provider | 52 Mdg, Unit 3865, Apo, AE 09126-3865 | 2009-05-14 |
| Street Address |
100 NEW SALEM RD |
| City | UNIONTOWN |
| State | PA |
| Zip Code | 15401-8936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851372403 | Fayette Co. Drug & Alcohol Commission, Inc. | Counselor | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2005-11-10 |
| 1043746381 | Chelsea Guerra | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2017-05-05 |
| 1093246217 | Kelly Sampson | Counselor | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2017-03-21 |
| 1366982423 | Brittany Mitchell | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2017-03-08 |
| 1093259277 | David Michalak | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2016-12-07 |
| 1184175747 | Jodilyn Golnik | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401 | 2016-10-19 |
| 1306397351 | Matthew Dean | Counselor | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2016-10-14 |
| 1194274977 | Kayla Mazzoni | Counselor | 100 New Salem Rd, Suite 116, Uniontown, PA 15401-8936 | 2016-09-22 |
| 1093263246 | Teri Martin | Counselor | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2016-09-16 |
| 1952752636 | Lamar Hill | Counselor | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2016-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811541808 | Kevin C Kutchman | Physical Medicine & Rehabilitation | 15 Morgantown Street, Uniontown, PA 15401 | 2019-07-28 |
| 1316502958 | Rosalia Friess | Occupational Therapist | 147 Lafayette Street, Uniontown, PA 15401 | 2019-05-09 |
| 1801369012 | Jill Cristen Bellush | Occupational Therapy Assistant | Lafayette Manor, Inc, 147 Lafayette Manor Road, Uniontown, PA 15401 | 2019-01-10 |
| 1679054183 | Wellness Recovery LLC | Counselor | 9-11 Veech St., Uniontown, PA 15401 | 2018-08-23 |
| 1851802185 | Young Men's Christian Association of Uniontown | Health Educator | One Ymca Drive, Uniontown, PA 15401 | 2017-10-13 |
| 1942730759 | Michele Dice | Social Worker | 89 W. Fayette Street, Uniontown, PA 15401 | 2017-06-14 |
| 1427593425 | Revital Metro | Counselor | 1203 Pittsburgh Road, Suite 101, Uniontown, PA 15401 | 2016-12-29 |
| 1366987729 | Michelle Carolla | Physician Assistant | 141 Wayland Smith Drive, Uniontown, PA 15401 | 2016-12-21 |
| 1558805176 | Samantha Helmantoler | Counselor | 1023 Pittsburgh Road, Uniontown, PA 15401 | 2016-12-16 |
| 1639527351 | Fayette Resources, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Millennium Drive Suite 2, Uniontown, PA 15401 | 2016-06-03 |
| Find all providers in zip 15401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679054183 | Wellness Recovery LLC | Counselor | 9-11 Veech St., Uniontown, PA 15401 | 2018-08-23 |
| 1427593425 | Revital Metro | Counselor | 1203 Pittsburgh Road, Suite 101, Uniontown, PA 15401 | 2016-12-29 |
| 1558805176 | Samantha Helmantoler | Counselor | 1023 Pittsburgh Road, Uniontown, PA 15401 | 2016-12-16 |
| 1437693322 | Amy Jo Johnson | Counselor | 1023 Pittsburgh Rd Ste 101, Uniontown, PA 15401-8951 | 2016-12-12 |
| 1922476852 | Alexis Caromano | Counselor | 408 Joanne Ln, Uniontown, PA 15401-3957 | 2015-09-09 |
| 1154603827 | Anna Deeds | Counselor | 140 North Beeson Avenue, Suite 401, Uniontown, PA 15401-2937 | 2011-09-19 |
| 1174805170 | Jolene Loncaric | Counselor | 100 Salem Road, Ste 106, Uniontown, PA 15401 | 2011-09-15 |
| 1992008189 | Lisa Dean | Counselor | 1023 Pittsburgh Rd Ste 109, Uniontown, PA 15401-8951 | 2010-12-10 |
| 1851372403 | Fayette Co. Drug & Alcohol Commission, Inc. | Counselor | 100 New Salem Rd, Suite 106, Uniontown, PA 15401-8936 | 2005-11-10 |
| 1801408455 | Andrena Billette Daniels | Counselor | 100 New Salem Rd Ste 106, Uniontown, PA 15401-8936 | 2020-08-17 |
| Find all providers in UNIONTOWN | ||||
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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.