Verlissa M Mason

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P012204 Issued in NC

Practice address

107 Conner Dr
Chapel Hill, NC 27514-7111

Phone

(919) 951-7600

NPI assigned

Aug 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Piedmont Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Carrboro, NC
  • NPI 1164526109
  NPD (past)
• Piedmont Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hillsborough, NC
  • NPI 1205711595
  NPD (past)
• Piedmont Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Efland, NC
  • NPI 1447135652
  NPD (past)
• Piedmont Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Efland, NC
  • NPI 1528817590
  NPD (past)

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

{
    "created_epoch": "1566864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1831747641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10831 BEECH VALLEY CT APT 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178296",
            "telephone_number": "919-357-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CONNER DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275147111",
            "telephone_number": "919-951-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "VERLISSA",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-27",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Mason, OT
• James Robert Mason
• Kerstin Lenore Mason, RPH
• Matthew Mason, D.D.S.
• Natalie Elizabeth Mason, OTRL
• Francine J Massa, PT
• Matthew Michael Massaro, NP
• Jean Alice Masse, DPT, PRC, OCS, ATC
• David Massicotte-Azarniouch, M.D.
• Daniel Wayne Masters, MD

• Clinical Social Worker in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.