Individual provider Active NPI

Stacy Reed Mason, LMSW

  • Clinical Social Worker
  • Brewster, NY
National Provider Identifier
1851452361
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
056109 Issued in NY
Practice address
2424 Route 6
Brewster Carmel Professional Building
Brewster, NY 10509-2539
Phone
(845) 216-0388
NPI assigned
Dec 12, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 056109 NY Primary

Addresses

Primary practice location

2424 Route 6
Brewster Carmel Professional Building
Brewster, NY 10509-2539

Mailing address

439 Nimham Rd
Carmel, NY 10512-3639
Phone (845) 216-0388

Other identifiers 1

IdentifierTypeStateIssuer
P3494229OtherNYOXFORD PROVIDER ID

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
I20070831000291 NY Practitioner - Clinical Social Worker 5193818482 Reassigns benefits to 1 organization
Practice locations: Carmel, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

439 Nimham Rd
Carmel, NY 10512-3639
Phone (845) 216-0388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
056109NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Caring SLP, Psychology, OT & Nutrition Services, PLLC CurrentSince Jun 1, 2025 Accepting new patients

Locations

17 N Plank Rd
Ste 10
Newburgh, NY 12550
Phone (845) 800-9305

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851452361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 NIMHAM RD",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123639",
            "telephone_number": "845-216-0388",
            "fax_number": "845-228-4398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 ROUTE 6",
            "address_2": "BREWSTER CARMEL PROFESSIONAL BUILDING",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105092539",
            "telephone_number": "845-216-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "STACY",
        "middle_name": "REED",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "056109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER ID",
            "identifier": "P3494229",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brewster, NY

Sources for this page

Verify at the official NPI Registry.