Active NPI
Brandon J Massion, LCSW
- Clinical Social Worker
- Tallahassee, FL
National Provider Identifier
1164228524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW24240
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| SW24240 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trifecta Health, LLC | Current | 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.
-
- Community/Behavioral Health Agency
- Dacula, GA
- NPI 1538706916
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.