| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1669000196 | CASSERLY | ALISON | PATRICE | 55 LAKE AVE N | WORCESTER | MA | 016550002 | |
| 1750887436 | GEORGIA | MICHELLE | ANNE | 55 LAKE AVE N | WORCESTER | MA | 016550002 | |
| 1215497995 | MORGAN | JORDI | JOEL | 55 LAKE AVE NORTH | WORCESTER | MA | 01655 | |
| 1093344467 | ROSE | KATHERINE | HENDREN | 55 LAKE AVENUE NORTH | WORCESTER | MA | 01655 |