Provider Demographics
NPI:1538208988
Name:WORDEN, SENEA ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:SENEA
Middle Name:ANN
Last Name:WORDEN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 278
Mailing Address - Street 2:
Mailing Address - City:LAKE JUNALUSKA
Mailing Address - State:NC
Mailing Address - Zip Code:28745-0278
Mailing Address - Country:US
Mailing Address - Phone:828-456-9770
Mailing Address - Fax:828-456-1984
Practice Address - Street 1:413 WALNUT ST
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-3256
Practice Address - Country:US
Practice Address - Phone:828-456-9770
Practice Address - Fax:828-456-1984
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0019151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC60-02001Medicaid
NC89251OtherBLUE CROSS BLUE SHIELD
NC89251OtherBLUE CROSS BLUE SHIELD