Individual provider Active NPI

Amber Lynn Massed, LICSW

  • Clinical Social Worker
  • Portsmouth, RI
National Provider Identifier
1891924759
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW02194 Issued in RI
Practice address
11 King Charles Dr Ste A2
Portsmouth, RI 02871-1364
Phone
(401) 648-8846
Fax
(866) 786-0077
NPI assigned
Jul 13, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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 ISW02194 RI Primary

Addresses

Primary practice location

11 King Charles Dr Ste A2
Portsmouth, RI 02871-1364

Mailing address

11 King Charles Dr Ste A2
Portsmouth, RI 02871-1364
Phone (401) 648-8846

Other identifiers 1

IdentifierTypeStateIssuer
1891902759MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, NY, CT, MA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20180125000479 RI Practitioner - Clinical Social Worker 9234498940 Reassigns benefits to 1 organization
Practice locations: Portsmouth, RI
I20251022000812 NY Practitioner - Clinical Social Worker 9234498940 Reassigns benefits to 1 organization
I20251112000667 CT Practitioner - Clinical Social Worker 9234498940 Reassigns benefits to 2 organizations
I20251112000850 MA Practitioner - Clinical Social Worker 9234498940 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7877 Willow Chase Blvd
Houston, TX 77070-5934

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW02194RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry of Texas PLLC CurrentSince Oct 1, 2025 Accepting new patients
Psychplus Medical Associates, PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

915 Ella T Grasso Blvd
New Haven, CT 06519
Phone (203) 349-9400

909 Sumner St
Stoughton, MA 02072
Phone (508) 427-2480

181 Kenwood Ave
Ste 10
Oneida, NY 13421

215 Toll Gate Rd
Ste 309
Warwick, RI 02886
Phone (401) 310-2220

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

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": "1247443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1891924759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 KING CHARLES DR STE A2",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711364",
            "telephone_number": "401-648-8846",
            "fax_number": "866-786-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 KING CHARLES DR STE A2",
            "city": "PORTSMOUTH",
            "state": "RI",
            "postal_code": "028711364",
            "telephone_number": "401-648-8846",
            "fax_number": "866-786-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSED",
        "first_name": "AMBER",
        "middle_name": "LYNN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-13",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW02194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891902759",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, RI

Sources for this page

Verify at the official NPI Registry.