Provider Demographics
NPI:1508661349
Name:WORTHY, MARY SABRINA (MPA, MSW)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:SABRINA
Last Name:WORTHY
Suffix:
Gender:
Credentials:MPA, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12327 CAMPBELL WAY
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-5429
Mailing Address - Country:US
Mailing Address - Phone:540-755-0353
Mailing Address - Fax:540-755-0354
Practice Address - Street 1:12327 CAMPBELL WAY
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-5429
Practice Address - Country:US
Practice Address - Phone:540-755-0353
Practice Address - Fax:540-755-0354
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09060155511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical