Individual provider Active NPI

Brandon J Massion, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1164228524
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW24240 Issued in FL
Practice address
5750 Quail Valley Rd
Tallahassee, FL 32309-6675
Phone
(678) 280-1390
Fax
(678) 280-1390
NPI assigned
Feb 24, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW24240 FL Primary

Addresses

Primary practice location

5750 Quail Valley Rd
Tallahassee, FL 32309-6675

Mailing address

5750 Quail Valley Rd
Tallahassee, FL 32309-6675
Phone (678) 280-1390

Other practice location 1

3617 Braselton Hwy Ste 104
Dacula, GA 30019-4667
Phone (678) 451-7006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
SW24240FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trifecta Health, LLC CurrentSince Mar 11, 2025 Accepting new patients

Locations

3617 Braselton Hwy
Ste 104
Dacula, GA 30019
Phone (678) 451-7006

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1164228524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 QUAIL VALLEY RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096675",
            "telephone_number": "678-280-1390",
            "fax_number": "678-280-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 QUAIL VALLEY RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096675",
            "telephone_number": "678-280-1390",
            "fax_number": "678-280-1390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3617 Braselton Hwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Dacula",
            "state": "GA",
            "postal_code": "300194667",
            "country_code": "US",
            "telephone_number": "678-451-7006",
            "fax_number": "770-783-8927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSION",
        "first_name": "BRANDON",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW24240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.