Lawanda Whitaker-Ross, LICSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

125633 Issued in MA

Practice address

45 Sterling St Ste 21
West Boylston, MA 01583-1268

Phone

(774) 369-0633

NPI assigned

Jun 14, 2016

Last updated

Mar 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Benoit Counseling Center, LLC

  • Clinical Social Worker
  • West Boylston, MA
  • NPI 1285218404

  Mental Health

  NPD
• Riverside Community Care, Inc.

  • Community/Behavioral Health Agency
  • Norwood, MA
  • NPI 1780791467
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1093165771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 STERLING ST STE 21",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 STERLING ST STE 21",
            "city": "WEST BOYLSTON",
            "state": "MA",
            "postal_code": "015831268",
            "telephone_number": "774-369-0633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-3068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITAKER-ROSS",
        "first_name": "LAWANDA",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "125633",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW125633",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Warhol, PSY.D.
• Jessica Lee Weagle, MASSAGE THERAPIST
• Tracy Manion Weldon, RDH, PHDH
• West Boylston Dental PC
• West Boylston Nursing Home Inc (Oakdale Rehabilitation and Skilled Nursing Center)
• Ariel Wilson
• Hongbin Xu, OD
• Scotlyn Yeates, PMHNP-BC, FNP-BC
• Polina Zhdanova, RN

• Mental Health Counselor in West Boylston, MA
• Providers in West Boylston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.