Individual provider Active NPI

Stephen F Mast, L.M.S.W.

  • Social Worker
  • West Sayville, NY
National Provider Identifier
1558671735
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
081999-1 Issued in NY
Practice address
93 Main St
Suite 1J
West Sayville, NY 11796
Phone
(631) 502-5220
Fax
(631) 256-9353
NPI assigned
Oct 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 081999-1 NY Primary

Addresses

Primary practice location

93 Main St
Suite 1J
West Sayville, NY 11796

Mailing address

9525 Queens Blvd Ste 812
Rego Park, NY 11374-4522
Phone (718) 896-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
081999-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sardonyx Wellness LCSW PLLC CurrentSince Sep 21, 2025 Accepting new patients
Innovations Counseling, LCSW PLLC CurrentSince Sep 21, 2025 Accepting new patients

Locations

93 Main St
Ste 1J
West Sayville, NY 11796
Phone (631) 502-5220

Organizations & group practices 2

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": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1558671735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9525 QUEENS BLVD STE 812",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744522",
            "telephone_number": "718-896-6500",
            "fax_number": "347-868-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 MAIN ST",
            "address_2": "SUITE 1J",
            "city": "WEST SAYVILLE",
            "state": "NY",
            "postal_code": "11796",
            "telephone_number": "631-502-5220",
            "fax_number": "631-256-9353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAST",
        "first_name": "STEPHEN",
        "middle_name": "F",
        "credential": "L.M.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081999-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Sayville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.