Lawrence Carlson Willoughby, LCSW in South Bend, IN

Lawrence Carlson Willoughby, LCSW is a Social Worker - Clinical based in South Bend, Indiana. Lawrence Carlson Willoughby is licensed to practice in Indiana (license number 34002033A) and his current practice location is 403 E Madison St, South Bend, Indiana. He can be reached at his office (for appointments etc.) via phone at (574) 533-1234.

NPI number for Lawrence Carlson Willoughby is 1063488963 and his current mailing address is Po Box 809, Goshen, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1063488963.

Contact Information

	Lawrence Carlson Willoughby, LCSW
	403 E Madison St, South Bend, IN 46617-2322
	(574) 533-1234
	(574) 537-2652

Map and Direction

Healthcare Provider's Profile

Full Name	Lawrence Carlson Willoughby
Gender	Male
Speciality	Social Worker - Clinical
Location	403 E Madison St, South Bend, Indiana
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1063488963
Provider Enumeration Date: 02/28/2006
Last Update Date: 09/28/2010

Medical Identifiers

Medical identifiers for Lawrence Carlson Willoughby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063488963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	34002033A (Indiana)	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. Lawrence Carlson Willoughby 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
Lawrence Carlson Willoughby, LCSW Po Box 809, Goshen, IN 46527-0809 Ph: (574) 533-1234	Lawrence Carlson Willoughby, LCSW 403 E Madison St, South Bend, IN 46617-2322 Ph: (574) 533-1234

Reviews and Comments

Social Worker in South Bend, IN

Mrs. Kathy James, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 611 Lincolnway E, South Bend, IN 46601 Phone: 574-232-2255 Fax: 574-232-8968
Cheryl Quiogue-hunt, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1161
Deborah Helen Miller, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 108 N Main St, Suite 305, South Bend, IN 46601 Phone: 574-234-3515 Fax: 574-234-3565
Faye Peterson-pottinger, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131
Mrs. Olivia George, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 53846 Generations Dr Ste A, South Bend, IN 46635 Phone: 574-276-7366
Mark V Snell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-533-1234 Fax: 574-537-2652
Sarah A Pinter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-283-1107 Fax: 574-283-1131

Lawrence Carlson Willoughby, LCSW - Clinical Social Worker in South Bend, IN