Joan S Mason LCSW Cap P a

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW4600 Issued in FL

Legal business name

JOAN S MASON LCSW CAP P A

Doing business as

Chrysalis Center

Practice address

3321 49TH St N
St Petersburg, FL 33710-2145

Phone

(727) 743-9060

Fax

(727) 367-4139

NPI assigned

Feb 1, 2007

Last updated

Nov 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joan S Mason, LCSW

Title

Owner

Phone

(727) 743-9060

Specialties & licenses 1

Addresses

Other identifiers 9

Other names 1

• Chrysalis Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Donat Ali, L.C.S.W.

  • Counselor
  • St Petersburg, FL
  • NPI 1396807137
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1538207667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST AVE",
            "address_2": "#305",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337064364",
            "telephone_number": "727-744-4880",
            "fax_number": "727-367-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 49TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337102145",
            "telephone_number": "727-743-9060",
            "fax_number": "727-367-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOAN S MASON LCSW CAP P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-743-9060",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "AK104",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID   1538207667",
            "identifier": "1538207667",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Z8210Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0739204",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "182234000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE SENDER/SUBMITTER",
            "identifier": "P4510",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "4014110",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7940163",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "512778450",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chrysalis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Airely Jimenez, PSYD
• Andrew Joseph Jimenez, PA
• Crystal Jimpie, ARNP
• Julie Jinkerson
• JKK&J Enterprises, Inc. (Right at Home St. Petersburg)
• Job Link Corp
• Kirk W Jobe, M.D.
• Naushin Khan Jobe, MD
• Kaitlin Jockers
• Joel Marantz, OD,PA

• Clinical Social Worker in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.