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MICHAEL ANTOINNE WORTHAM
NPI 1376131136
Counselor - Addiction (Substance Use Disorder) in San Leandro, CA

Active since January 07, 2021
2035 FAIRMONT DR, SAN LEANDRO, CA 94578(510) 346-7836 Get Directions Write a Review

NPPES record last updated: January 7, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Michael Antoinne Wortham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL ANTOINNE WORTHAM (NPI 1376131136) is an individual addiction (substance use disorder) provider in San Leandro, California and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1376131136
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMICHAEL ANTOINNE WORTHAM
Location Address2035 FAIRMONT DRSan Leandro, CA 94578-1088
Mailing Address2035 Fairmont DrSan Leandro, CA 94578-1088 · (510) 346-7836
Phone(510) 346-7836
Sole ProprietorNo
Enumeration DateJanuary 7, 2021
NPPES CertifiedJanuary 7, 2021
✔ NPI 1376131136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2035 FAIRMONT DR, San Leandro, CA 94578
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CLARISSA ADRIANA ORTEGA SUDRC
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 346-3836
LISA WOODS
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 346-7836
JACQUELINE R TURNER RADT
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 346-7836
MR. TYGE GILBERT TROCHE SUDRC
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 346-7845
PHILIP LEE R1550030224
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
CASTRO VALLEY, CA 94578
Alameda County (510) 346-7836
ALEXANDER COWART
Emergency Medical Technician, Basic
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 346-7831
RONALD JETT
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (510) 346-7836
MISS CATARINA LOURENCO
Counselor (Addiction (Substance Use Disorder))
2035 FAIRMONT DR
SAN LEANDRO, CA 94578
Alameda County (415) 533-9993

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Wortham's NPI number?

The NPI number for Michael Wortham is 1376131136. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Where is Michael Wortham located?

Michael Wortham practices at 2035 Fairmont Dr, San Leandro, CA 94578. The listed phone number is (510) 346-7836.

What is Michael Wortham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Michael Wortham was last updated on January 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.