Healthcare Provider Details

I. General information

NPI: 1558199687
Provider Name (Legal Business Name): HELEN WORTHINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2024
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 2ND ST SW
ALBUQUERQUE NM
87102-3831
US

IV. Provider business mailing address

8815 TRADEWIND RD NW
ALBUQUERQUE NM
87121-7021
US

V. Phone/Fax

Practice location:
  • Phone: 505-604-1244
  • Fax: 505-407-8375
Mailing address:
  • Phone: 505-604-1244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSWB-2025-0822
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: