Erin Jean Massey, LCSW
Individual provider Active NPI Clinical Social Worker · Orofino, ID
NPI 1376884593 · NPPES record last updated May 6, 2021
Key facts
- NPI
- 1376884593
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- LCSW-36279 (ID)
- Practice address
- 1055 Riverside Ave
Orofino, ID 83544 - Phone
- (208) 476-5777
- Fax
- (208) 476-5385
- NPI assigned
- Mar 13, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
- 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 |
|---|---|---|---|---|
| I20170208002717 | ID | Practitioner - Clinical Social Worker | 3779866140 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary'S Hospital Inc | Current |
Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current |
Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current |
Accepting new patients | |
| Clearwater Valley Hospital & Clinics Inc. | Current |
Accepting new patients | |
| St. Mary'S Hospital Inc | Current |
Accepting new patients | |
| St Joseph Hospital LLC | Current |
Accepting new patients |
Locations
2003 Kootenai Health Way
Coeur D Alene, ID 83814
Phone (208) 625-5085
701 Lewiston St
Cottonwood, ID 83522
Phone (208) 962-3251
341 Saint Johns Way
Lewiston, ID 83501
Phone (208) 750-7462
307 Saint Johns Way
Ste 17
Lewiston, ID 83501
Phone (208) 746-7055
415 6th St
Lewiston, ID 83501
Phone (208) 750-7445
821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422
301 Cedar St
Orofino, ID 83544
Phone (208) 476-4555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW-36279 | ID | Yes |
Addresses
Primary practice location
1055 Riverside Ave
Orofino, ID 83544
Mailing address
2003 Kootenai Health Way
Coeur D Alene, ID 83814-6051
Phone (208) 476-5777
Other providers in Orofino, ID
- John Seth Lukens
- Rick G Lundgren
- Malone Counseling Service, PLLC
- Frederick James Malone
- Willian L Marks
- Kelly McGrath
- Jolene Marie McManus
- Albert William Merritt
- Michael K. Richardson
- Michael Burns Miller Jr.
All providers in Orofino, ID · Clinical Social Worker in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.