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NPI Code Detail

MEDICARE: SLY L WORTHY JR.

MEDICARE: SLY L WORTHY JR.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.2106300OH

General Provider Information

NPI Number : 1538090220
Entity Type Code : Individual
Provider Name (Legal Business Name) : SLY L WORTHY JR.
Provider Business Mailing Address
First Line : 14 HIGHLAND AVE
Second Line :
City : STRUTHERS
State : OH
Zip : 44471-2321
Country : US
Telephone Number : 330-307-3962
Fax Number :
Provider Business Practice Location Address
First Line : 14 HIGHLAND AVE
Second Line :
City : STRUTHERS
State : OH
Zip : 44471-2321
Country : US
Telephone Number : 330-307-3962
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2026
Last Update Date : 05/29/2026

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Directions to “ SLY L WORTHY JR. ” Practice Location

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