Active NPIIndividual provider

Ms. Lawanda Whitaker-Ross, LICSW

Counselor, Mental Health in West Boylston, Massachusetts

NPI Number1093165771
Practice location
45 Sterling St Ste 21, West Boylston, MA 01583-1268
Fax
—
Last updated
March 8, 2024

Lawanda Whitaker-Ross is a Counselor, Mental Health based in West Boylston, MA. Lawanda Whitaker-Ross practices in West Boylston, MA and has the professional credentials of LICSW. The NPI Number for Lawanda Whitaker-Ross is 1093165771 and holds a License No. LICSW125633 (MA). The current practice location address for Lawanda Whitaker-Ross is 45 Sterling St Ste 21, West Boylston, MA 01583-1268 and can be reached out via phone at 774-369-0633.

Provider Profile Details

NPI Number
1093165771
Provider Name
Lawanda Whitaker-Ross
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
45 Sterling St Ste 21, West Boylston, MA 01583-1268
Phone Number
774-369-0633
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
June 14, 2016
Last Update Date
March 8, 2024
Certification Date
March 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Sterling St Ste 21
West Boylston, MA 01583-1268
Zip
01583-1268
Phone Number
774-369-0633
West Boylston, MA 01583Get directions →

Provider Business Mailing Address Details

Address
45 Sterling St Ste 21
West Boylston, MA 01583-1268
City
West Boylston
State
MA
Zip
01583-1268

License Information

License Number (1)
LICSW125633
License State (1)
MA
Taxonomy (1)
Social Worker, Clinical · 1041C0700X
Taxonomy (2)
Community Health Worker · 172V00000X
License Number (3)
125633
License State (3)
MA
Taxonomy (3)
Counselor, Mental Health · 101YM0800X · Primary

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 Ms. Lawanda Whitaker-Ross, LICSW?

The NPI number of Ms. Lawanda Whitaker-Ross, LICSW is 1093165771. It was assigned on June 14, 2016 and is currently active in the NPPES registry.

What is the specialty of Ms. Lawanda Whitaker-Ross, LICSW?

Ms. Lawanda Whitaker-Ross, LICSW is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number LICSW125633.

Where does Ms. Lawanda Whitaker-Ross, LICSW practice?

The practice location is 45 Sterling St Ste 21, West Boylston, MA 01583-1268. The office can be reached at 774-369-0633 (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 1093165771 directly on the NPPES registry website.

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