SANDY LEA WORTLEY (NPI# 1093914152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093914152 |
| Entity Type | Individual |
| Full Name | SANDY LEA WORTLEY |
| Credential | RAS |
| Practice Address |
2000 Traffic Way Atascadero CA 93422-1523 |
| Mailing Address |
7760 Whispering Trails Pl Paso Robles CA 93446-6396 |
| Practice Telephone | 8056743131 |
| Practice Fax Number | 8663065825 |
| Mailing Telephone | 8056743131 |
| Mailing Fax Number | 8663065825 |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2018-12-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
W0411010859 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BREINING UNIVERSITY/REGIS | W0411010859 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2000 Traffic Way, Atascadero, CA 934221523 | 8056743131 | 8663065825 |
| Street Address |
2000 TRAFFIC WAY |
| City | ATASCADERO |
| State | CA |
| Zip Code | 93422-1523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710524160 | Kastina Rae Moore | Counselor | 2000 Traffic Way, Atascadero, CA 93422-1523 | 2019-12-04 |
| 1275001067 | Bryan's House Recovery Home | Substance Abuse Rehabilitation Facility | 2000 Traffic Way, Atascadero, CA 93422-1523 | 2018-11-09 |
| 1235498353 | Jennifer Ann Gustavson-dufour | Marriage & Family Therapist | 2000 Traffic Way, Atascadero, CA 93422-1523 | 2012-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356903645 | Michael E Nevin | Licensed Psychiatric Technician | 6550 Morro Rd, Unit D, Atascadero, CA 93422 | 2019-07-08 |
| 1225495583 | Kelly Michelle Morrow | Counselor | 7130 Sombrilla Ave., Atascadero, CA 93422 | 2016-01-18 |
| 1609242817 | Cheyenne M Britton | Counselor | 9366 Ribereng Circle, Atascadero, CA 93422 | 2015-08-12 |
| 1033590856 | Debra Marie Califia | Counselor | 6500 Morro Rd., Aegis Treatment Centers, Atascadero, CA 93422 | 2015-06-17 |
| 1134548498 | Allison Muller | Counselor | 8000 Santa Rosa Road, Atascadero, CA 93422 | 2014-04-15 |
| 1376973875 | Jana Slezakova | Psychologist | 10333 El Camino Real Dept Of, Atascadero, CA 93422 | 2013-11-19 |
| 1013341189 | Kimberly L Schwab | Counselor | 5575 Hospital Dr., Atascadero, CA 93422 | 2013-08-26 |
| 1982941274 | Krisitana Lynn Hatcher Miller | Counselor | 6312 Atascadero Ave, Atascadero, CA 93422 | 2013-01-07 |
| 1588939995 | Else Mai Thi Curry | Counselor | 4000 Santa Cruz Rd, Atascadero, CA 93422 | 2012-03-19 |
| 1083987523 | Kathryn Gaoiran Bartlett | Pharmacist | 8200 El Camino Real, Atascadero, CA 93422 | 2012-02-14 |
| Find all providers in zip 93422 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558877399 | Cynthia Perry | Counselor | 13715 El Camino Real, Atascadero, CA 93422-6334 | 2017-12-15 |
| 1053825869 | Gina C Bernard Tretter | Counselor | 6500 Morro Rd # Cd, Atascadero, CA 93422-4142 | 2017-12-01 |
| 1033590856 | Debra Marie Califia | Counselor | 6500 Morro Rd., Aegis Treatment Centers, Atascadero, CA 93422 | 2015-06-17 |
| 1609272582 | Bryce Campbell Schubert | Counselor | 6500 Morro Rd Ste C&d, Atascadero, CA 93422-4142 | 2014-11-05 |
| 1588939995 | Else Mai Thi Curry | Counselor | 4000 Santa Cruz Rd, Atascadero, CA 93422 | 2012-03-19 |
| 1780999813 | Robert Kontoff | Counselor | 3518 El Camino Real, Atascadero, CA 93422-2531 | 2010-08-12 |
| 1780824748 | Denile Deanne Cooley | Counselor | 6500 Morro Road, Suite-d, Atascadero, CA 93422 | 2009-03-03 |
| 1346390994 | Kristin Caroline Ford | Counselor | 6500 Morro Rd, Atascadero, CA 93422-4142 | 2007-01-12 |
| 1770100273 | Zachary Williams | Counselor | 6500 Morro Rd, Atascadero, CA 93422-4142 | 2020-06-30 |
| 1073150793 | Saxen James Martin-jensen | Counselor | 6500 Morro Rd Ste D, Atascadero, CA 93422-4142 | 2019-12-01 |
| Find all providers in ATASCADERO | ||||
| City | ATASCADERO |
| Zip Code | 93422 |
Please comment or provide details below to improve the information on SANDY LEA WORTLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.