Terry L Massey, CRTC,LCSW,LISW,CCSOT

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005677 Issued in NC

Practice address

9635 Southern Pine Blvd Ste 127
Charlotte, NC 28273-5563

Phone

(704) 207-0423

Fax

(704) 491-3097

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

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.

• Progressive Recovery Resources Homes LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Charlotte, NC
  • NPI 1851072169
  NPD (past)
• Progressive Recovery Resources LLC

  • Case Management Agency
  • Charlotte, NC
  • NPI 1144456104
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640563200000",
    "number": "1508991829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 178",
            "city": "MOUNT HOLLY",
            "state": "NC",
            "postal_code": "281200178",
            "telephone_number": "704-491-3097",
            "fax_number": "704-625-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9635 SOUTHERN PINE BLVD STE 127",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282735563",
            "telephone_number": "704-207-0423",
            "fax_number": "704-491-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "TERRY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "CRTC,LCSW,LISW,CCSOT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2021-12-27",
        "certification_date": "2021-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P002798",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6007186",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leslie-Ann Massey, OT
• Loretta Massey, LCSW
• Marcus Massey, CPSS
• Sarah Jane Massey, FNP
• Sierra Massey, MA, LCAS
• Todd Andrew Massey, DC, PA-C
• Whitney Deonte Massey
• Zach Massey, NCC, LPCA
• Zaye Massey
• Ziere Tanjanere Massey, RBT

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2021; 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.