Individual provider Active NPI

Lisa Corso Masouras, MSW, LCSW

  • Clinical Social Worker
  • Mechanicsville, VA
National Provider Identifier
1467622803
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006510 Issued in VA
Practice address
7171 Verdi LN
Mechanicsville, VA 23116-6580
Phone
(804) 723-5014
NPI assigned
Feb 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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 0904006510 VA Primary

Addresses

Primary practice location

7171 Verdi LN
Mechanicsville, VA 23116-6580

Mailing address

7109 Studley Rd
Mechanicsville, VA 23116-6514
Phone (804) 310-5351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20110610000131 VA Practitioner - Clinical Social Worker 6800073313 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006510VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hanover Counseling Associates, PLLC Clinical CurrentSince Jun 29, 2012 Accepting new patients
Hanover Counseling Associates, PLLC Current Accepting new patients
New Life Journey, Inc. Past Accepting new patients
Chapman Senior Care, Inc. Clinical PastSince Apr 9, 2011 Accepting new patients

Locations

8249 Crown Colony Pkwy
#200
Mechanicsville, VA 23116
Phone (804) 789-1224

8249 Crown Colony Pkwy
Ste 200
Mechanicsville, VA 23116
Phone (804) 789-1224

Organizations & group practices 4

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": "1204243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1467622803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 STUDLEY RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231166514",
            "telephone_number": "804-310-5351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7171 VERDI LN",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231166580",
            "telephone_number": "804-723-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOURAS",
        "first_name": "LISA",
        "middle_name": "CORSO",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-29",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, VA

Sources for this page

Verify at the official NPI Registry.