Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. TREVOR WOODWORTH
NPI 1467755280
Counselor in Malden, MA

Q: What is Trevor Woodworth's NPI number?

The NPI number for Trevor Woodworth is 1467755280. It was assigned to this individual provider in the NPPES registry on December 16, 2010.

Q: What is Trevor Woodworth's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Trevor Woodworth was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 59 days 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.

Active since December 16, 2010PECOS Enrolled

730 EASTERN AVE, MALDEN, MA 02148(781) 879-8166 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Trevor Woodworth NPPES

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

MR. TREVOR WOODWORTH (NPI 1467755280) is an individual counselor in Malden, Massachusetts and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1467755280

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameMR. TREVOR WOODWORTH

Location Address730 EASTERN AVEMalden, MA 02148-5924

Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791 · Fax (415) 252-7176

Phone(781) 879-8166

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateDecember 16, 2010

Last NPPES UpdateJune 12, 2026

NPPES CertifiedJune 12, 2026

✔ NPI 1467755280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

730 EASTERN AVE, Malden, MA 02148

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Secondary Practice Locations 2

Location 153 State StBoston, MA 02109-2820 · Phone (617) 903-5000

Location 21350 Connecticut Ave NW Ste 1250Washington, DC 20036-1728 · Phone (888) 663-6331 · Fax (415) 252-7176

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Trevor Woodworth is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID749728970

PECOS Enrollment IDI20260303000480

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SAMUEL A ESQUIVEL

Counselor