Individual provider Active NPI

Sharon R Massoth, M.S.W.

  • Clinical Social Worker
  • Enfield, CT
National Provider Identifier
1215957048
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002059 Issued in CT
Practice address
77 Hazard Ave Unit M2
Enfield, CT 06082-3890
Phone
(203) 980-3993
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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 002059 CT Primary

Addresses

Primary practice location

77 Hazard Ave Unit M2
Enfield, CT 06082-3890

Mailing address

148 Hillwinds N
Brattleboro, VT 05301-9076
Phone (203) 980-3993

Other identifiers 7

IdentifierTypeStateIssuer
0000037868OtherCTMENTAL HEALTH NET
54296OtherCTCIGNA BEHAVIORAL HEALTH
135006OtherCTMAGELLAN
188117OtherCTHEALTH MANAGEMENT CENTER
221176OtherCTCOM PSYCH
A993734OtherCTVALUE OPTIONS
P1090932OtherCTOXFORD HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, VT2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150925000752 CT Practitioner - Clinical Social Worker 5395053276 Practice locations: Enfield, CT
I20200504001446 VT Practitioner - Clinical Social Worker 5395053276 Practice locations: Brattleboro, VT

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

148 Hillwinds N
Brattleboro, VT 05301-9076
Phone (203) 980-3993

77 Hazard Ave
Unit M2
Enfield, CT 06082-3890
Phone (203) 980-3993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002059CTMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1215957048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 HILLWINDS N",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "053019076",
            "telephone_number": "203-980-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 HAZARD AVE UNIT M2",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823890",
            "telephone_number": "203-980-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOTH",
        "first_name": "SHARON",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002059",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH NET",
            "identifier": "0000037868",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA BEHAVIORAL HEALTH",
            "identifier": "54296",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "135006",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH MANAGEMENT CENTER",
            "identifier": "188117",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COM PSYCH",
            "identifier": "221176",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "A993734",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH",
            "identifier": "P1090932",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

Verify at the official NPI Registry.