Individual provider Active NPI

Andrea Massabini, LCSW

  • Social Worker
  • Hamburg, NY
National Provider Identifier
1730340795
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P75348 Issued in NY
Practice address
485 Sunset Dr
Hamburg, NY 14075-4231
Phone
(716) 572-2548
NPI assigned
Jun 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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 P75348 NY Primary

Addresses

Primary practice location

485 Sunset Dr
Hamburg, NY 14075-4231

Mailing address

485 Sunset Dr
Hamburg, NY 14075-4231
Phone (716) 572-2548

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20201106000839 NY Practitioner - Clinical Social Worker 9537579347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P75348NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Hall CurrentSince Aug 5, 2020 Accepting new patients
Mid Erie Mental Health Services Inc Social Worker PastSince Apr 1, 1996 Accepting new patients

Locations

790 Ridge Rd
Lackawanna, NY 14218
Phone (716) 828-9334

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": "1214179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1730340795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 SUNSET DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754231",
            "telephone_number": "716-572-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 SUNSET DR",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140754231",
            "telephone_number": "716-572-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSABINI",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-23",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P75348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

Verify at the official NPI Registry.