Individual provider Active NPI

Jessica Massey, LCSW

  • Clinical Social Worker
  • Charlotte, NC
National Provider Identifier
1861402034
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C001493 Issued in NC
Practice address
3516 Chilham PL
Charlotte, NC 28226-3003
Phone
(704) 572-0330
Fax
(704) 943-9146
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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 C001493 NC Primary

Addresses

Primary practice location

3516 Chilham PL
Charlotte, NC 28226-3003

Mailing address

3516 Chilham PL
Charlotte, NC 28226-3003
Phone (704) 572-0330

Other practice location 1

6416 Carmel Rd Ste 406
Charlotte, NC 28226-8268
Phone (704) 572-0330

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20141222000432 NC Practitioner - Clinical Social Worker 3072836154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Iowa, RJ & L Carver College of Medicine, 1988
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3516 Chilham PL
Charlotte, NC 28226-3003
Phone (704) 572-0330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C001493NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jessica L Massey, LCSW, PLLC Clinical CurrentSince Jun 28, 2014 Accepting new patients

Locations

6416 Carmel Rd
Ste 406
Charlotte, NC 28226
Phone (704) 572-0330

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1861402034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3516 CHILHAM PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263003",
            "telephone_number": "704-572-0330",
            "fax_number": "704-362-2836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 CHILHAM PL",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282263003",
            "telephone_number": "704-572-0330",
            "fax_number": "704-943-9146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6416 Carmel Rd Ste 406",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282268268",
            "country_code": "US",
            "telephone_number": "704-572-0330",
            "fax_number": "704-943-9146",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "JESSICA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C001493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.