Mala Tanya-sue Williams-lawrence, LCSW, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Lauderdale, Florida. She graduated from healthcare school in 2003 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Chrysalis Center, Inc. and her current practice location is
3800 W Broward Blvd # 100, Fort Lauderdale, Florida. You can reach out to her office (for appointments etc.) via phone at
(954) 587-1008.
Mala Tanya-sue Williams-lawrence is licensed to practice in Florida (license number SW19675) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1215443361.
Healthcare Provider's Profile
| Full Name | Mala Tanya-sue Williams-lawrence |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 22 Years |
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| Location | 3800 W Broward Blvd # 100, Fort Lauderdale, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mala Tanya-sue Williams-lawrence graduated from medical school in 2003
NPI Data:
- NPI Number: 1215443361
- Provider Enumeration Date: 12/26/2017
- Last Update Date: 05/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 5395180665
- Enrollment ID: I20240226003513
Medical Identifiers
Medical identifiers for Mala Tanya-sue Williams-lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215443361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | SW19675 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | IS11516 (Florida) | Secondary |
| 1041C0700X | Social Worker - Clinical | SW19675 (Florida) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Chrysalis Center, Inc. | 8325186646 | 27 |
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. Mala Tanya-sue Williams-lawrence allows following entities to bill medicare on her behalf.
| Entity Name | Chrysalis Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700961646
PECOS PAC ID: 8325186646
Enrollment ID: O20091106000319 |
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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. Mala Tanya-sue Williams-lawrence 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 |
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Mala Tanya-sue Williams-lawrence, LCSW, MSW
26612 Shoregrass Dr,
Wesley Chapel, FL 33544-7728
Ph: (631) 553-8319 | Mala Tanya-sue Williams-lawrence, LCSW, MSW
3800 W Broward Blvd # 100,
Fort Lauderdale, FL 33312-1018
Ph: (954) 587-1008 |
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