Phylicia Nicole Massey, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW13425 Issued in FL

Practice address

4940 Emerson St Ste 103
Jacksonville, FL 32207-4970

Phone

(904) 323-6801

Fax

(904) 328-1626

NPI assigned

Mar 6, 2012

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phyliciamassey@tdh.allscriptsdirect.net

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.

• Phaith Coaching & Counseling, LLC

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1285257535
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1330992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660608000000",
    "number": "1376817551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9024",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322080024",
            "telephone_number": "904-323-6801",
            "fax_number": "904-328-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EMERSON ST STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074970",
            "telephone_number": "904-323-6801",
            "fax_number": "904-328-1626"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3027 San Diego Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322073691",
            "country_code": "US",
            "telephone_number": "904-478-8321",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5991 Chester Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322172269",
            "country_code": "US",
            "telephone_number": "904-448-1992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1536 N Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096525",
            "country_code": "US",
            "telephone_number": "904-475-5917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "PHYLICIA",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-06",
        "last_updated": "2022-08-16",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13425",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bobbie Massey-Hollifield, LCSW
• Angela M Massey, ARNP
• Brittany Massey, CLD, CPD, CLSE
• Mallory R Massey, OTR/L
• Maranda Nicole Massey, FNP-BC,PMHNP-BC,APRN
• Randy Massey
• Tiffany Taylor Massey, M.D.
• Yolanda Massey
• Shannon G Massingale
• Amanda Massman, LCSW

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2022; 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.