Provider Demographics
NPI:1568033017
Name:WORTHMAN, SARAH (LMHCA)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:WORTHMAN
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 ARROWHEAD ST
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:IN
Mailing Address - Zip Code:46069-9241
Mailing Address - Country:US
Mailing Address - Phone:317-995-4685
Mailing Address - Fax:
Practice Address - Street 1:115 ARROWHEAD ST
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:IN
Practice Address - Zip Code:46069-9241
Practice Address - Country:US
Practice Address - Phone:317-995-4685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88001333A101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health