MEDICARE: MR. LAWRENCE HAWFIELD WHITE M.ED.,LADC, LCMHC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	000264	VT
2	101YM0800X	Mental Health Counselor	068-0000469	VT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	093553	OTHER	VT	VALUOPTIONS'
2	29138	OTHER	VT	BCBS
3	350650	OTHER	VT	MVP
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	2025493	OTHER	VT	CIGNA

General Provider Information

NPI Number	:	1093772345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. LAWRENCE HAWFIELD WHITE M.ED.,LADC, LCMHC

Provider Business Mailing Address
First Line	:	PO BOX 203
Second Line	:
City	:	SAINT ALBANS BAY
State	:	VT
Zip	:	05481-0203
Country	:	US
Telephone Number	:	802-238-2962
Fax Number	:	802-524-1465

Provider Business Practice Location Address
First Line	:	725 MAQUAM SHORE RD
Second Line	:
City	:	SWANTON
State	:	VT
Zip	:	05488-8437
Country	:	US
Telephone Number	:	802-238-2962
Fax Number	:	802-524-1465

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2006
Last Update Date	:	09/11/2025

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