Daniel Joseph Massie, LCSW, CSAC, CS-IT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7567-123 Issued in WI

Practice address

108 N Lincoln Ave
Beaver Dam, WI 53916-2110

Phone

(920) 887-8751

Fax

(920) 887-3977

NPI assigned

Feb 28, 2011

Last updated

Jun 26, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 2005

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Affiliated Counseling Center LLCGroup PAC ID 5991790883, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Affiliated Counseling Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beaver Dam, WI
  • NPI 1164568879
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1298851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1427355445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 N CENTER ST STE 204",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539161005",
            "telephone_number": "920-887-8751",
            "fax_number": "920-887-3977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N LINCOLN AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162110",
            "telephone_number": "920-887-8751",
            "fax_number": "920-887-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIE",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "credential": "LCSW, CSAC, CS-IT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-28",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15331-132",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "15412-133",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "7567-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riley Jean Malliet
• Daniel G Malone, MD
• Ami Mantych, APNP
• Marshland Pharmacies Inc (Marshland Pharmacy)
• Tyler John Marx, LPC-IT
• Tia Mathwich, PT
• Timothy Mathwich, DPT
• Stefanie Marie McKnight
• Paul R McMillan, MD
• Mehran Mehrabi, MD, DMD

• Clinical Social Worker in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.