Jacinta L Mason, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801105201 Issued in MI

Practice address

2900 Conner St
Detroit, MI 48215-2407

Phone

(313) 308-1402

NPI assigned

Jul 24, 2019

Last updated

Jul 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563926400000",
    "number": "1447803853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 LOCHMOOR BLVD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482361709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 CONNER ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482152407",
            "telephone_number": "313-308-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "JACINTA",
        "middle_name": "L",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801105201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LLMSW",
            "identifier": "6801105201",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesse Lee Mason-Brown, MSN, RN, CPNP-PC
• Brian A Mason, MD
• Gary Mason, DO
• Glynis N Mason
• Hortense Alice Mason, LMSW
• Kai Mason, LLMSW
• Kianna S Mason
• Mikki Lachelle Mason
• Sahar Tibah Mason, LMSW
• William D Mason, MD

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2019; 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.