Siobhan Ann Masterson, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

071902 Issued in NY

Practice address

1156 N Broadway
Andrus Children's Center
Yonkers, NY 10701-1108

Phone

(914) 965-3700

NPI assigned

Oct 21, 2010

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 10, 2025 through Apr 10, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Siobhan Masterson, LCSW.R

  • Clinical Social Worker
  • Nyack, NY
  • NPI 1447749171
  NPD Authorized official

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1508166737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1156 N BROADWAY",
            "address_2": "ANDRUS CHILDREN'S CENTER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011108",
            "telephone_number": "914-965-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 N BROADWAY",
            "address_2": "ANDRUS CHILDREN'S CENTER",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107011108",
            "telephone_number": "914-965-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERSON",
        "first_name": "SIOBHAN",
        "middle_name": "ANN",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY NPI #",
            "identifier": "1003991019",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY MEDICAID ID",
            "identifier": "00745088",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John M Masi, R.PH
• Joseph Michael Masi, PHARMACIST
• Erica Mason
• Melinda Jane Massoff, PH.D.
• Gemini Master-Patel, DMD
• Dawn Mastrangelo, RN
• John J Mastrantonio, M.D.
• Solangel Mata, BSW,CASAC T
• Riny Mathai, MD
• Antony Mathew, CO,BOCPO

• Clinical Social Worker in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.