Healthcare Provider Details

I. General information

NPI: 1598333734
Provider Name (Legal Business Name): JAMES P WORTHLEY MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2021
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

298 HOWARD ST
FRAMINGHAM MA
01702-8313
US

IV. Provider business mailing address

66 SLEIGH RD
WESTFORD MA
01886-3909
US

V. Phone/Fax

Practice location:
  • Phone: 508-879-2250
  • Fax:
Mailing address:
  • Phone: 978-846-3173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10005058
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: