Active NPIIndividual providerSole proprietor

Mr. Trevor Woodworth

Counselor, Mental Health in Malden, Massachusetts

NPI Number1467755280
Practice location
730 Eastern Ave, Malden, MA 02148-5924
Fax
—
Last updated
October 28, 2026

Trevor Woodworth is a Counselor, Mental Health based in Malden, MA. Trevor Woodworth practices in Malden, MA. The NPI Number for Trevor Woodworth is 1467755280 and holds a License No. 10142 (MA). The current practice location address for Trevor Woodworth is 730 Eastern Ave, Malden, MA 02148-5924 and can be reached out via phone at 781-879-8166.

Provider Profile Details

NPI Number
1467755280
Provider Name
Trevor Woodworth
Provider Entity Type
Individual
Gender
Male
Address
730 Eastern Ave, Malden, MA 02148-5924
Phone Number
781-879-8166
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
December 16, 2010
Last Update Date
October 28, 2026
Certification Date
October 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
730 Eastern Ave
Malden, MA 02148-5924
City
Malden
Zip
02148-5924
Phone Number
781-879-8166
Malden, MA 02148Get directions →

Provider Business Mailing Address Details

Address
243 Gorham St Apt 1111
Canandaigua, NY 14424-1869
City
Canandaigua
State
NY
Zip
14424-1869
Phone Number
857-246-9557

License Information

License Number (1)
10142
License State (1)
MA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
0701011998
License State (2)
VA
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
279114
License State (3)
KY
Taxonomy (3)
Counselor, Mental Health · 101YM0800X
License Number (4)
PRC200001372
License State (4)
DC
Taxonomy (4)
Counselor, Mental Health · 101YM0800X
License Number (5)
015013
License State (5)
NY
Taxonomy (5)
Counselor, Mental Health · 101YM0800X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mr. Trevor Woodworth?

The NPI number of Mr. Trevor Woodworth is 1467755280. It was assigned on December 16, 2010 and is currently active in the NPPES registry.

What is the specialty of Mr. Trevor Woodworth?

Mr. Trevor Woodworth is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 10142.

Where does Mr. Trevor Woodworth practice?

The practice location is 730 Eastern Ave, Malden, MA 02148-5924. The office can be reached at 781-879-8166 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467755280 directly on the NPPES registry website.

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