Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376336636 Individual Practitioner

Lauren Wallace

Specialist • Worcester, MA

Professional Overview & Biography Verified Profile Summary

Lauren Wallace is a registered healthcare professional specializing in Specialist in Worcester, MA. Practice services are available at 108 GROVE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

108 Grove St

Worcester, MA 016052651

Telephone 5089019930
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Worcester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.8 Yrs
State Avg: 37.9 Yrs
Regional Practice Density
42 Specialists

Practicing in Worcester, MA (1181 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-05-28
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1447053301

Master of Education, Board Certified Behavior Analyst, LABA

Jasmin Correa

Social Worker

NPI 1467201764
Brendan Croston

Social Worker - Clinical

NPI 1528893062
Kyle George , MSW

Social Worker

NPI 1821847187

Master of Social Work

NPI 1861157224

Doctor of Education (Ed.D.), Board Certified Behavior Analyst, LABA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 28, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2025

Registered at 108 GROVE ST, WORCESTER, MA 016052651 (Tel: 5089019930)

📍
Updated Business Mailing Address May 28, 2025

Registered at 108 GROVE ST, WORCESTER, MA 016052651 (Tel: 5089019930)

👤
Provider Name / Credentials Updated May 28, 2025

Recorded as LAUREN WALLACE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2025

Specialist

🟢
Initial NPI Registration & Enumeration May 28, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376336636
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2025
Last Update: May 28, 2025
Sole Proprietor: Yes

Mailing Address

108 Grove St

Worcester, MA 016052651

Phone: 5089019930

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.