Damien Raphael Montassi, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S.1701621 Issued in OH

Practice address

5001 Ridgebury Blvd
Lyndhurst, OH 44124-1102

Phone

(440) 953-9999

Fax

(440) 918-3839

NPI assigned

Nov 21, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1511222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1316451750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 RIDGEBURY BLVD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241102",
            "telephone_number": "440-840-7725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 RIDGEBURY BLVD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241102",
            "telephone_number": "440-953-9999",
            "fax_number": "440-918-3839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTASSI",
        "first_name": "DAMIEN",
        "middle_name": "RAPHAEL",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-21",
        "last_updated": "2024-04-01",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1701621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany N Miller
• Renee M Miller
• Asya N. Mirakova, APRN, CNP
• Mitchell Scher D.D.S Lyndhurst,Inc
• Ralph F Mondora, D.D.S.
• Jonathan Moon
• Mary Rose Moore, FNP-C
• Thomas J Morledge, MD
• Dave Moss, CAREGIVER FULL TIME
• Morgan Moss, MA CCC-SLP

• Social Worker in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.