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Mark David Worthen, PSYD
Group Psychotherapy Psychologist in Charlotte, North Carolina
NPI 1770502379

Mark David Worthen is a Group Psychotherapy Psychologist based in Charlotte, NC and is specialized in Group Psychotherapy. Mark David Worthen practices in Charlotte, NC and has the professional credentials of PSYD. The NPI Number for Mark David Worthen is 1770502379 and holds a License No. 1835 (North Carolina).

The current practice location address for Mark David Worthen is 12907 Yorkridge Dr Apt 417, Charlotte, NC and can be reached out via phone at 208-244-4052 and via fax at 980-729-5870. You can also correspond with Mark David Worthen through the mailing address at PO BOX 410105, CHARLOTTE, NC - 28241-0105 (mailing address contact number: 980-391-6309).

Location: 12907 Yorkridge Dr Apt 417, Charlotte, NC, 28241-0105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770502379
Provider Name
Mark David Worthen
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
12907 Yorkridge Dr Apt 417, Charlotte, NC, 28241-0105
Phone Number
208-244-4052
Fax Number
980-729-5870
Provider Enumeration Date
07/18/2006
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6000718 05 NC
institution
Provider Business Practice Location Address Details
Address
12907 Yorkridge Dr Apt 417
City
Charlotte
State
North Carolina
Zip
28273
Phone Number
208-244-4052
Fax Number
980-729-5870
person
Provider Business Mailing Address Details
Address
12907 Yorkridge Dr Apt 417
City
Charlotte
State
North Carolina
Zip
28273
Phone Number
208-244-4052
Fax Number
980-729-5870
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
1835 (North Carolina)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Forensic
Taxonomy
103TF0200X
License No.
10951856-2501 (Utah)
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
person
Provider's Taxonomy Details 4
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Group Psychotherapy
Taxonomy
103TP2701X
License No.
1835 (North Carolina)
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
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