Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Avenue Recovery, LLC

Organization Substance Use Disorder Rehabilitation Clinic/Center · NPI 1831739739

Lake Avenue Recovery, LLC is a Substance Use Disorder Rehabilitation Clinic/Center in Worcester, Massachusetts. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

425 Lake Ave N
Worcester, MA 01605-2047
Phone: (508) 794-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 213 School Street, Gardner, MA 01440 — (508) 826-6182

Specialties & licences

Substance Use Disorder Rehabilitation Clinic/Center (primary) Taxonomy 261QR0405X

Record details

NPI number1831739739
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Maroney — Executive Director · (508) 826-6182
NPI enumeratedJanuary 9, 2020
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address38 Brentwood Drive, Holden, MA 01520-1932

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