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AVERY WORTHAM
NPI 1639937907
Counselor - Addiction (Substance Use Disorder) in Venice, CA

Active since March 11, 2024
503 OCEAN FRONT WALK, VENICE, CA 90291(310) 392-3070 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avery Wortham NPPES

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

AVERY WORTHAM (NPI 1639937907) is an individual addiction (substance use disorder) provider in Venice, California and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1639937907
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameAVERY WORTHAM
Location Address503 OCEAN FRONT WALKVenice, CA 90291-2403
Mailing Address3114 W 74th StLos Angeles, CA 90043-5008 · (323) 841-9944
Phone(310) 392-3070
Sole ProprietorNo
Enumeration DateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
✔ NPI 1639937907 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
503 OCEAN FRONT WALK, Venice, CA 90291
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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.

QUESEAN GREGORY
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
DENNIS SMITH
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MR. HENRY R. GRAY
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
CORY BARNES RADT
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MR. LUCIANO MACHADO II
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
JESUS BARAJAS
Counselor (Addiction (Substance Use Disorder))
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MIGUEL ADRIAN RODRIGUEZ
Marriage & Family Therapist
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070
MRS. KRISTEN BRANCH WINSLOW LMFT, MBA
Marriage & Family Therapist
503 OCEAN FRONT WALK
VENICE, CA 90291
Los Angeles County (310) 392-3070

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 Avery Wortham's NPI number?

The NPI number for Avery Wortham is 1639937907. It was assigned to this individual provider in the NPPES registry on March 11, 2024.

Where is Avery Wortham located?

Avery Wortham practices at 503 Ocean Front Walk, Venice, CA 90291. The listed phone number is (310) 392-3070.

What is Avery 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 Avery Wortham was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.