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Shane Worthington, SLPA

Specialist/Technologist, Speech-Language Assistant in West Memphis, AR. Individual provider (NPI-1).

NPI number1578087763
StatusActive
Last updated in NPPESJul 28, 2017

Details

NPI
1578087763
Entity type
Individual (NPI-1)
Name
Shane Worthington
Credential
SLPA
Sex
Male
Sole proprietor
No
Enumeration date
Jul 28, 2017
Last updated
Jul 28, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2355S0801X Specialist/Technologist, Speech-Language Assistant––Yes

Practice location

712 Calvin Avery Dr Ste C
West Memphis, AR 72301-6515

Phone 870-394-9550 · Fax 870-292-3422

Mailing address

215 Eldon Cv
Marion, AR 72364-2385

Phone 870-897-8892 · Fax 870-292-3422

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Speech-Language Assistant providers in West Memphis, AR

All 5 Speech-Language Assistant providers in West Memphis · All 851 providers in West Memphis

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