Theresa C Mason, LCSW BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013231 Issued in PA

Practice address

Persoma, PC
2450 Monroeville Blvd.
Monroeville, PA 15146

Phone

(412) 823-5155

Fax

(412) 823-8262

NPI assigned

Mar 10, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1023086436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PERSOMA, PC",
            "address_2": "2540 MONROEVILLE BLVD.",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "412-823-5155",
            "fax_number": "412-823-8262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PERSOMA, PC",
            "address_2": "2450 MONROEVILLE BLVD.",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "15146",
            "telephone_number": "412-823-5155",
            "fax_number": "412-823-8262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "THERESA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW BCD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BC/BS",
            "identifier": "002097",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "200054",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Masch, MD
• Ashley Masci, RPH
• Kenneth Michael Mashraky Jr.
• Emily Mason
• Robert Mason, L.C.S.W.
• Lara Walsh Massie, MD
• Francesca Mastrangelo
• Stephen John Maszkiewicz, O.D.
• Anirudh Matha, MD
• Michael William Matisko Jr., D.M.D., M.S.D.

• Clinical Social Worker in Monroeville, PA
• Providers in Monroeville, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.