Emma Marie Massman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

25600 Issued in MN

Practice address

1880 Austin Rd
Owatonna, MN 55060-4543

Phone

(504) 214-2016

Fax

(507) 214-2017

NPI assigned

Oct 4, 2019

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 names 1

• Emma Marie Cozad Former name

Medicare fee-for-service enrollment

Enrolled in MN

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

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 and National Provider Directory roles.

• Full Circle Counseling and Wellness, PC

  • Mental Health Counselor
  • Owatonna, MN
  • NPI 1831739788

  Clinical, MN

  Medicare reassignment NPD

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

{
    "created_epoch": "1570147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1467093005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 AUSTIN RD",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604543",
            "telephone_number": "504-214-2016",
            "fax_number": "507-214-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 AUSTIN RD",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550604543",
            "telephone_number": "504-214-2016",
            "fax_number": "507-214-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSMAN",
        "first_name": "EMMA",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-04",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "25600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMMA",
            "last_name": "COZAD",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kayla Manuell, PT, DPT
• George Marcus, M.D.
• Tia Louise Marks, LPCC
• Christina Marsolek
• Martin Supportive Services
• Roberta Lee Mathern, MS, LMFT
• Mayo Clinic Health System-Southeast Minnesota Region
• Mayo Clinic Hospital-Rochester
• Mayo Foundation for Medical Education & Research
• Julia McCabe, MS, CCC-SLP

• All providers in Owatonna, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.