MEDICARE: LD PSYCH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1033826821
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LD PSYCH SERVICES

Provider Business Mailing Address
First Line	:	30 ALLSTON AVE
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01604-3323
Country	:	US
Telephone Number	:	508-735-8619
Fax Number	:

Provider Business Practice Location Address
First Line	:	30 ALLSTON AVE
Second Line	:
City	:	WORCESTER
State	:	MA
Zip	:	01604-3323
Country	:	US
Telephone Number	:	508-356-4495
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CLINICIAN
Name	:	LISA MARIE DAGNELLO
Credential	:	LMHC, LADC1
Telephone Number	:	508-356-4495

Provider Enumeration Date	:	11/01/2022
Last Update Date	:	11/01/2022

Similar Medicare Providers

1861342339 — MICHAEL D BOULAY OTR/L
Practice Location Address:

45 CARLISLE ST
WORCESTER, MA
01602-3323

Practice Phone: 774-239-0621
Practice Fax: 774-239-0621

1659648434 — DR. LAUREN MICHELLE BAUMANN PSYD
Practice Location Address:

403 BELMONT ST
WORCESTER, MA
01604-1019

Practice Phone: 413-584-4040
Practice Fax:

1235088667 — HAVEN DETOX MA OPERATING SUBSIDIARY, LLC
Practice Location Address:

1369 GRAFTON ST
WORCESTER, MA
01604-2737

Practice Phone: 305-361-9115
Practice Fax:

1093459901 — SARAH JOY HARTMAN
Practice Location Address:

403 BELMONT ST
WORCESTER, MA
01604-1019

Practice Phone: 413-584-4040
Practice Fax:

1750261848 — JORDAN STERENBERG OT, OTD, OTR
Practice Location Address:

403 BELMONT ST
WORCESTER, MA
01604-1019

Practice Phone: 508-856-0104
Practice Fax:

1336091743 — DR CHINGOR MORE HEALTH SERVICES PLLC
Practice Location Address:

133 DERBY ST
WORCESTER, MA
01604-3942

Practice Phone: 978-227-6815
Practice Fax: 978-227-6815

Directions to “LD PSYCH SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.