Provider Demographics
NPI:1033834668
Name:WORTHAM, YORLONDO SM (LCPC)
Entity Type:Individual
Prefix:DR
First Name:YORLONDO
Middle Name:SM
Last Name:WORTHAM
Suffix:
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5032 JERICHO RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-5409
Mailing Address - Country:US
Mailing Address - Phone:410-963-2202
Mailing Address - Fax:
Practice Address - Street 1:5032 JERICHO RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-5409
Practice Address - Country:US
Practice Address - Phone:410-963-2022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC13004101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional