Individual provider · Type 1 NPI
Lawanda Whitaker-Ross, LICSW
Mental Health Counselor · West Boylston, MA
NPI number
1093165771
Active
Practice location
45 Sterling St Ste 21
West Boylston, MA 01583-1268
Other practice locations
- 55 Lake Ave N, Worcester, MA 01655-0002 · (508) 334-3068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | LICSW125633 (MA) |
| Community Health Worker | 172V00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | 125633 (MA) |
Mental Health Counselor: Definition to come...
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About NPI 1093165771
Lawanda Whitaker-Ross, LICSW's National Provider Identifier is 1093165771, issued on Jun 14, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in West Boylston, MA. The record was last updated on Mar 8, 2024.