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DAVID WENTWORTH
NPI 1992172498
Counselor - Addiction (Substance Use Disorder) in Petaluma, CA

Active since September 01, 2015
1021 COUNTRY CLUB DR, PETALUMA, CA 94952(707) 338-3656 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Wentworth NPPES

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

DAVID WENTWORTH (NPI 1992172498) is an individual addiction (substance use disorder) provider in Petaluma, California and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1992172498
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameDAVID WENTWORTH
Location Address1021 COUNTRY CLUB DRPetaluma, CA 94952-5238
Mailing Address1021 Country Club DrPetaluma, CA 94952-5238 · (707) 338-3656
Phone(707) 338-3656
Sole ProprietorYes
Enumeration DateSeptember 1, 2015
✔ NPI 1992172498 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
1021 COUNTRY CLUB DR, Petaluma, CA 94952
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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 David Wentworth's NPI number?

The NPI number for David Wentworth is 1992172498. It was assigned to this individual provider in the NPPES registry on September 1, 2015.

Where is David Wentworth located?

David Wentworth practices at 1021 Country Club Dr, Petaluma, CA 94952. The listed phone number is (707) 338-3656.

What is David Wentworth'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 David Wentworth was last updated on September 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.