MRS. SHIRLEY WORTHAM
NPI 1710418314
Counselor - Professional in Monroe, WI

Active since March 24, 2017
N3152 STATE ROAD 81, MONROE, WI 53566(608) 328-9393(608) 328-9480 Get Directions Write a Review

NPPES record last updated: July 26, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2024, Mar 24, 2017 (2 updates tracked since 2017).

About Mrs. Shirley Wortham NPPES

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

MRS. SHIRLEY WORTHAM (NPI 1710418314) is an individual professional provider in Monroe, Wisconsin, licensed in Wisconsin (2817-226) and active in the NPI registry since March 2017. She maintains a secondary practice location in Beloit.

NPPES Registry Identity

NPI1710418314
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHIRLEY WORTHAM
Location AddressN3152 STATE ROAD 81Monroe, WI 53566-9397
Mailing AddressN3152 State Road 81Monroe, WI 53566-9397 · (608) 328-9393
Fax(608) 328-9480
Sole ProprietorNo
Enumeration DateMarch 24, 2017
Last NPPES UpdateJuly 26, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2023
NPI 1710418314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in WI · 2817-226
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 281728 (WI)
N3152 STATE ROAD 81, Monroe, WI 53566

Other Names 1

Former Name (1)Mrs. Shirley Ann Wortham Csac, Lpc

Secondary Practice Location 1

Location 12240 Prairie AveBeloit, WI 53511-2648 · Phone (608) 361-7200 ext. 226 · Fax (608) 361-7202

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.

Social Worker (Clinical)
N3152 STATE ROAD 81
MONROE, WI 53566
Counselor (Addiction (Substance Use Disorder))
N3152 STATE ROAD 81
MONROE, WI 53566
Social Worker (Clinical)
N3152 STATE ROAD 81
MONROE, WI 53566
Counselor (Addiction (Substance Use Disorder))
N3152 STATE ROAD 81
MONROE, WI 53566
Counselor
N3152 STATE ROAD 81
MONROE, WI 53566
Counselor (Mental Health)
N3152 STATE ROAD 81
MONROE, WI 53566
Counselor (Mental Health)
N3152 STATE ROAD 81
MONROE, WI 53566
Rehabilitation Counselor
N3152 STATE ROAD 81
MONROE, WI 53566

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 Shirley Wortham's NPI number?

The NPI number for Shirley Wortham is 1710418314. It was assigned to this individual provider in the NPPES registry on March 24, 2017. The provider is also known as Mrs. Shirley Ann Wortham Csac, Lpc.

Where is Shirley Wortham located?

Shirley Wortham practices at N3152 State Road 81, Monroe, WI 53566. The listed phone number is (608) 328-9393.

What is Shirley Wortham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shirley Wortham was last updated on July 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.