Individual provider Active NPI

Elizabeth Massey, LCSW

  • Clinical Social Worker
  • Norwalk, CT
National Provider Identifier
1730274242
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006082 Issued in CT
Practice address
165 Flax Hill Rd.
Family & Children's Agency Project Reward
Norwalk, CT 06854-2839
Phone
(203) 831-6301
Fax
(203) 831-6305
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 006082 CT Primary

Addresses

Primary practice location

165 Flax Hill Rd.
Family & Children's Agency Project Reward
Norwalk, CT 06854-2839

Mailing address

9 Mott Ave
Family & Children's Agency - 4TH Floor
Norwalk, CT 06850-3308
Phone (203) 855-8765

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
006082CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730274242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MOTT AVE",
            "address_2": "FAMILY & CHILDREN'S AGENCY - 4TH FLOOR",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068503308",
            "telephone_number": "203-855-8765",
            "fax_number": "203-838-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 FLAX HILL RD.",
            "address_2": "FAMILY & CHILDREN'S AGENCY PROJECT REWARD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068542839",
            "telephone_number": "203-831-6301",
            "fax_number": "203-831-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "ELIZABETH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.