Lake Avenue Recovery, LLC
NPI 1831739739 · Substance Use Disorder Rehabilitation Clinic/Center · Worcester, MA
Lake Avenue Recovery, LLC is a Substance Use Disorder Rehabilitation Clinic/Center organization in Worcester, MA (NPI 1831739739).
Provider details
- NPI number
- 1831739739
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Maroney, Executive Director(508) 826-6182
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 213 School StreetSuite 201Gardner, MA 01440Phone: (508) 826-6182
Registry dates
- Enumerated
- 2020-01-09
- Last updated
- 2024-02-12
- Certified
- 2024-02-12
Frequently asked questions
- What is Lake Avenue Recovery, LLC's NPI number?
- Lake Avenue Recovery, LLC's National Provider Identifier (NPI) is 1831739739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Avenue Recovery, LLC?
- Lake Avenue Recovery, LLC is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Lake Avenue Recovery, LLC located?
- Lake Avenue Recovery, LLC's practice location on file with NPPES is 425 Lake Ave N, Worcester, MA 01605-2047.
- What is Lake Avenue Recovery, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Avenue Recovery, LLC is (508) 794-4400.
- Who is the authorized official for Lake Avenue Recovery, LLC?
- The authorized official listed on Lake Avenue Recovery, LLC's NPPES record is John Maroney, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Avenue Recovery, LLC's NPI active?
- Yes — Lake Avenue Recovery, LLC's NPI (1831739739) is active in the NPPES registry as of the last update on 2024-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.