Jacquelyn Ann Masella

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

316 S Main St
Woodstock, VA 22664-1254

Phone

(540) 908-8585

NPI assigned

Dec 20, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacquelyn Ann Masella Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Life Enrichment Services, LLC

  • Mental Health Counselor
  • Broadway, VA
  • NPI 1912440116
  NPD

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

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1568000537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 WHIPPORWILL RD",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226307913",
            "telephone_number": "540-692-2802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641254",
            "telephone_number": "540-908-8585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASELLA",
        "first_name": "JACQUELYN",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELYN",
            "last_name": "MASELLA",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Scott Macleod, MD
• Holly P Markley, LPC
• Teresa Marie Martilik, ATC
• Lesleigh Martin, MSW
• Whitney Martin, OTR/L
• Joshua Kent Mathews
• Clare Brady Matthews, LCSW
• Brianna McKenney, SLP
• Ann Meadows, PTA
• Medexpress Urgent Care, PC - Virginia

• Social Worker in Woodstock, VA
• Providers in Woodstock, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.