LAKE AVENUE RECOVERY, LLC
NPI 1831739739
Clinic/Center - Rehabilitation, Substance Use Disorder in Worcester, MA
About Lake Avenue Recovery, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE AVENUE RECOVERY, LLC (NPI 1831739739) is a healthcare organization registered as a rehabilitation, substance use disorder in Worcester, Massachusetts and active in the NPI registry since January 2020. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Gardner, and lists John Maroney, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 22D2185467
Lake Avenue Recovery LLC · Worcester, MACertificate of Waiver 22D2320322
Lake Avenue Recovery LLC · Gardner, MAOther Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WORCESTER, MA 01605
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lake Avenue Recovery, LLC's NPI number?
The NPI number for Lake Avenue Recovery, LLC is 1831739739. It was assigned to this organization in the NPPES registry on January 9, 2020.
Where is Lake Avenue Recovery, LLC located?
Lake Avenue Recovery, LLC is located at 425 Lake Ave N, Worcester, MA 01605. The listed phone number is (508) 794-4400.
What is Lake Avenue Recovery, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.
Does Lake Avenue Recovery, LLC hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
What insurance does Lake Avenue Recovery, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Lake Avenue Recovery, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lake Avenue Recovery, LLC was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Lake Avenue Recovery, Llc · NPI 1831739739
Rehabilitation, Substance Use Disorder organization in Worcester, Massachusetts. Organization record, active in the CMS NPPES registry since January 9, 2020.
## Identity
- **NPI:** 1831739739 (Entity type: Organization)
- **Enumerated:** January 9, 2020
- **Primary specialty:** Clinic/Center - Rehabilitation, Substance Use Disorder · taxonomy 261QR0405X
- **Organization subpart:** No
- **Authorized official:** John Maroney, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 425 LAKE AVE N, Worcester, MA 01605-2047
- **Phone:** (508) 794-4400
## Record status
- **NPPES last updated:** February 12, 2024
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1831739739) · Data from the CMS NPPES public registry.