Individual provider Active NPI

Ciro Anthony Massa, LCSW LADC

  • Clinical Social Worker
  • Danielson, CT
National Provider Identifier
1497834428
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
004254 Issued in CT
Practice address
245 Main St
Danielson, CT 06239-2816
Phone
(888) 316-5221
Fax
(866) 203-2138
NPI assigned
Nov 2, 2006
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 000204 CT
Clinical Social Worker 1041C0700X 004254 CT Primary

Addresses

Primary practice location

245 Main St
Danielson, CT 06239-2816

Mailing address

245 Main St
Danielson, CT 06239-2816
Phone (888) 316-5221

Other practice location 1

10 Higgins Hwy Ste 12
Mansfield Center, CT 06250-1437
Phone (888) 316-5221 ext. 116

Other identifiers 1

IdentifierTypeStateIssuer
008004012MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20040728000117 CT Practitioner - Clinical Social Worker 4385614379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regeneration Therapy and Counseling LLCGroup PAC ID 7719363886, 8 clinicians

Practice addresses (Care Compare)

245 Main St
Danielson, CT 06239-2816
Phone (888) 316-5221

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004254CTMDClinical Social Worker
000204CTMDNaturopath

Practice roles

OrganizationSpecialtyStatusNew patients
Regeneration Therapy and Counseling LLC CurrentSince Dec 22, 2022 Accepting new patients
United Services Inc CurrentSince May 1, 2016 Accepting new patients
Sound Community Services, Inc. Past Accepting new patients
Catholic Charities,Diocese of Norwich, Inc. PastSince Jun 25, 2019 Accepting new patients

Locations

245 Main St
Danielson, CT 06239
Phone (401) 935-3824

10 Higgins Hwy
Ste 12
Mansfield Center, CT 06250
Phone (860) 456-3772

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/soundcommunityservices/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1497834428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 MAIN ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392816",
            "telephone_number": "888-316-5221",
            "fax_number": "866-203-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MAIN ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392816",
            "telephone_number": "888-316-5221",
            "fax_number": "866-203-2138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Higgins Hwy Ste 12",
            "address_purpose": "LOCATION",
            "city": "Mansfield Center",
            "state": "CT",
            "postal_code": "062501437",
            "country_code": "US",
            "telephone_number": "888-316-5221 x116",
            "fax_number": "866-203-2138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSA",
        "first_name": "CIRO",
        "middle_name": "ANTHONY",
        "credential": "LCSW LADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CT",
            "license": "000204",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "004254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008004012",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danielson, CT

Sources for this page

Verify at the official NPI Registry.