Richard Jason Lawrence, QMHS MA CMS MA PSY is a
Community Health Worker based in Brookpark, Ohio. Richard Jason Lawrence is licensed to practice in Ohio (license number ) and his current practice location is
16101 Snow Rd, Brookpark, Ohio. He can be reached at his office (for appointments etc.) via phone at
(440) 260-8300.
NPI number for Richard Jason Lawrence is 1811486012 and his current mailing address is 434 Eastland Rd, Berea, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811486012.
Healthcare Provider's Profile
| Full Name | Richard Jason Lawrence |
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| Gender | Male |
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| Speciality | Community Health Worker |
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| Location | 16101 Snow Rd, Brookpark, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811486012
- Provider Enumeration Date: 05/03/2018
- Last Update Date: 07/28/2020
Medical Identifiers
Medical identifiers for Richard Jason Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811486012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC1900X | Psychologist - Counseling | (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (Ohio) | Secondary |
| 172V00000X | Community Health Worker | (Ohio) | 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. Richard Jason Lawrence 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 |
|---|
Richard Jason Lawrence, QMHS MA CMS MA PSY
434 Eastland Rd,
Berea, OH 44017-1217
Ph: (440) 234-2006 | Richard Jason Lawrence, QMHS MA CMS MA PSY
16101 Snow Rd,
Brookpark, OH 44142-2817
Ph: (440) 260-8300 |
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