Mala Tanya-sue Williams-lawrence, LCSW, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Lauderdale, Florida. 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 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 1215443361.
Healthcare Provider's Profile
| Full Name | Mala Tanya-sue Williams-lawrence |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 3800 W Broward Blvd # 100, Fort Lauderdale, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
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 |
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. |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1700961646
PECOS PAC ID: 8325186646
Enrollment ID: O20091106000319 |
|---|
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 |
|---|
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 |
Reviews and Comments