Christopher Ryan Massey, MSW, LCSW
Individual provider Active NPI Clinical Social Worker · Potosi, MO
NPI 1346890696 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1346890696
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 2021014789 (MO)
- Practice address
- 402 N Missouri St
Potosi, MO 63664-1750 - Phone
- (573) 210-4959
- NPI assigned
- Sep 18, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Washington County Memorial Hospital
Practice addresses (Care Compare)
200 Health Way Dr
Healthway Primary Care
Potosi, MO 63664-1434
Phone 5734385451355
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210510001004 | MO | Practitioner - Clinical Social Worker | 1153730817 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019005818 | MO | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington County Memorial Hospital | Current |
Accepting new patients | |
| Washington County Memorial Hospital | Current |
Accepting new patients |
Locations
200 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977
300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977
Interoperability endpoints
- christopher.massey.p1@direct.wcmh-clinics.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 2019005818 | MO | |
| Clinical Social Worker | 1041C0700X | 2021014789 | MO | Yes |
Addresses
Primary practice location
402 N Missouri St
Potosi, MO 63664-1750
Mailing address
PO Box 215
Potosi, MO 63664-0215
Phone (573) 210-4959
Other practice location 1
607 Pine St.
Farmington, MO 63640
Phone (573) 321-1659
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 490075951 | Medicaid | MO |
Other providers in Potosi, MO
- Shayne S Keddy
- Emily Morgan Kelley
- Marianne Klemm
- Edward William Lake
- Carolyn Coyne Maryan
- Heather Renee Mathieson
- Stephen McKown Matthews
- Tiara Michele McCarthy
- Judith McCaul
- Jensen Ryan McGinness
All providers in Potosi, MO · Clinical Social Worker in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.