Individual provider Active NPI

Richard Mastroianni, LCSW

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1629116181
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801086004 Issued in MI
Practice address
4046 Hess Ave
Saginaw, MI 48601
Phone
(989) 791-2455
Fax
(989) 791-1392
NPI assigned
Feb 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801086004 MI Primary

Addresses

Primary practice location

4046 Hess Ave
Saginaw, MI 48601

Mailing address

3785 Bay Rd
Saginaw, MI 48603-2433
Phone (989) 791-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20131213001072 MI Practitioner - Clinical Social Worker 3072613082 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Better Health Therapy Center LLCGroup PAC ID 2062788706, 16 clinicians
Landmark Therapy LLCGroup PAC ID 2264785302, 2 clinicians

Practice addresses (Care Compare)

2157 University Park Dr
Suite 1
Okemos, MI 48864-5956
Phone (517) 243-9738

26677 W 12 Mile Rd
Southfield, MI 48034-1514
Phone (248) 931-0016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Landmark Therapy PLLC Clinical CurrentSince Sep 15, 2025 Accepting new patients
Better Health Therapy Center LLC Clinical CurrentSince Feb 25, 2021 Accepting new patients

Locations

2157 University Park Dr
Okemos, MI 48864
Phone (517) 243-9738

2157 University Park Dr
Ste 1
Okemos, MI 48864
Phone (517) 243-9738

26677 W 12 Mile Rd
Southfield, MI 48034
Phone (248) 234-4816

Organizations & group practices 3

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": "1170547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535587200000",
    "number": "1629116181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3785 BAY RD",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032433",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4046 HESS AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48601",
            "telephone_number": "989-791-2455",
            "fax_number": "989-791-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTROIANNI",
        "first_name": "RICHARD",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-04",
        "last_updated": "2018-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.