Provider Demographics
NPI:1659727733
Name:WORTH, DABNEY (LCSW)
Entity Type:Individual
Prefix:
First Name:DABNEY
Middle Name:
Last Name:WORTH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8168 CROWN BAY MARINA
Mailing Address - Street 2:STE 505
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00802-5819
Mailing Address - Country:US
Mailing Address - Phone:540-848-5221
Mailing Address - Fax:
Practice Address - Street 1:9150 SUGAR ESTATE
Practice Address - Street 2:STE 102
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802
Practice Address - Country:US
Practice Address - Phone:340-244-9658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-09
Last Update Date:2016-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1-2920-2B1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical