Healthcare Provider Details

I. General information

NPI: 1386554228
Provider Name (Legal Business Name): RACHEL WORTHY LLMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7752 W VERNOR HWY
DETROIT MI
48209-1516
US

IV. Provider business mailing address

2851 LANSDOWNE RD
WATERFORD MI
48329-2948
US

V. Phone/Fax

Practice location:
  • Phone: 313-254-2483
  • Fax:
Mailing address:
  • Phone: 248-342-6255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: