Ms Lawanda Whitaker-ross, LICSW is a
Counselor - Mental Health based in West Boylston, Massachusetts. Ms Lawanda Whitaker-ross is licensed to practice in Massachusetts (license number 125633) and her current practice location is
45 Sterling St Ste 21, West Boylston, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(774) 369-0633.
NPI number for Ms Lawanda Whitaker-ross is 1093165771 and her current mailing address is 45 Sterling St Ste 21, West Boylston, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093165771.
Healthcare Provider's Profile
Full Name | Ms Lawanda Whitaker-ross |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 45 Sterling St Ste 21, West Boylston, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093165771
- Provider Enumeration Date: 06/14/2016
- Last Update Date: 03/08/2024
Medical Identifiers
Medical identifiers for Ms Lawanda Whitaker-ross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093165771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LICSW125633 (Massachusetts) | Secondary |
172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 125633 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lawanda Whitaker-ross is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Lawanda Whitaker-ross, LICSW 45 Sterling St Ste 21, West Boylston, MA 01583-1268 Ph: () - | Ms Lawanda Whitaker-ross, LICSW 45 Sterling St Ste 21, West Boylston, MA 01583-1268 Ph: (774) 369-0633 |
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