Lillian Lashae Outlaw, LCSW in Mooresville, NC - Medicare Social Worker Provider

Lillian Lashae Outlaw, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mooresville, North Carolina. Her current practice location is 122 Gateway Blvd Ste C, Mooresville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 360-3637.

Lillian Lashae Outlaw is licensed to practice in North Carolina (license number C014975) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760880959.

Contact Information

	Lillian Lashae Outlaw, LCSW
	122 Gateway Blvd Ste C, Mooresville, NC 28117-5544
	(704) 360-3637
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lillian Lashae Outlaw
Gender	Female
Speciality	Social Worker - Clinical
Location	122 Gateway Blvd Ste C, Mooresville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760880959
Provider Enumeration Date: 12/20/2014
Last Update Date: 04/29/2025

Medicare PECOS Information:

PECOS PAC ID: 5193069615
Enrollment ID: I20220627001105

Medical Identifiers

Medical identifiers for Lillian Lashae Outlaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760880959	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	8874 (Connecticut)	Secondary
1041C0700X	Social Worker - Clinical	C014975 (North Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lillian Lashae Outlaw allows following entities to bill medicare on her behalf.

Entity Name	Lake Norman Family Therapy, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255445292 PECOS PAC ID: 3779523014 Enrollment ID: O20080424000297

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. Lillian Lashae Outlaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lillian Lashae Outlaw, LCSW 112 Camforth Dr, Mooresville, NC 28117-6858 Ph: (203) 317-3333	Lillian Lashae Outlaw, LCSW 122 Gateway Blvd Ste C, Mooresville, NC 28117-5544 Ph: (704) 360-3637

Reviews and Comments

Social Worker in Mooresville, NC

Latoya Camp Daniels, MSW, LSCW-A Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 363 Williamson Rd Ste 102, Mooresville, NC 28117 Phone: 704-664-7148
Sara S Yang, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Medical Park Rd Ste 207, Mooresville, NC 28117 Phone: 704-464-4102
Jalessa Shanice Cherry, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 123 Professional Park Dr Ste 101, Mooresville, NC 28117 Phone: 704-749-9560 Fax: 833-918-2112
Kristen Christensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 542 Williamson Rd Ste 4, Mooresville, NC 28117 Phone: 704-550-4538
Mr. Nicholas James Denny, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 134 Infield Ct, Mooresville, NC 28117 Phone: 704-799-6824
Janice K. Marine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 610 E Center Ave, Mooresville, NC 28115 Phone: 704-402-1060 Fax: 704-406-1065
Elizabeth Cowan Hutcheson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 116 S Main St, Suite 202, Mooresville, NC 28115 Phone: 704-664-7084

Lillian Lashae Outlaw, LCSW - Medicare Clinical Social Worker in Mooresville, NC