Individual provider Active NPI

Janice Lee Masse, LCSW

  • Clinical Social Worker
  • Athens, NY
National Provider Identifier
1396142147
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73084209 Issued in NY
Practice address
20 N Greeenwood
Unit 2165
Athens, NY 12015
Phone
(518) 965-2009
NPI assigned
Nov 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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 73084209 NY Primary

Addresses

Primary practice location

20 N Greeenwood
Unit 2165
Athens, NY 12015

Mailing address

20 N Greenwood LN
Unit 2165
Athens, NY 12015-2709
Phone (518) 965-2009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161014001896 NY Practitioner - Clinical Social Worker 5890083547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

20 N Greenwood LN
Unit 2165
Athens, NY 12015-2709
Phone (518) 965-2009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73084209NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Families Together Counseling Services, PLLC CurrentSince Aug 10, 2016 Accepting new patients

Locations

110 Jefferson Hts
Catskill, NY 12414
Phone (518) 719-0123

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1396142147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 N GREENWOOD LN",
            "address_2": "UNIT 2165",
            "city": "ATHENS",
            "state": "NY",
            "postal_code": "120152709",
            "telephone_number": "518-965-2009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 N GREEENWOOD",
            "address_2": "UNIT 2165",
            "city": "ATHENS",
            "state": "NY",
            "postal_code": "12015",
            "telephone_number": "518-965-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSE",
        "first_name": "JANICE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73084209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, NY

Sources for this page

Verify at the official NPI Registry.