Individual provider Active NPI

Amanda Masi, LICSW

  • Clinical Social Worker
  • Johnston, RI
National Provider Identifier
1922675164
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
ISW04461 Issued in RI
Practice address
1126 Hartford Ave
Johnston, RI 02919-7109
Phone
(401) 519-1940
Fax
(401) 519-1940
NPI assigned
Jun 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Clinical Social Worker 1041C0700X ISW04461 RI Primary
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

1126 Hartford Ave
Johnston, RI 02919-7109

Mailing address

1126 Hartford Ave
Johnston, RI 02919-7109
Phone (401) 519-1940

Other practice location 1

33 Maple St
North Providence, RI 02911-2415
Phone (401) 191-9405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20230925000870 RI Practitioner - Clinical Social Worker 5395199459 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1126 Hartford Ave
Johnston, RI 02919-7130

33 Maple St
North Providence, RI 02911-2415
Phone (401) 351-2750

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW04461RIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Community Action Agency CurrentSince Sep 11, 2023 Accepting new patients
Tri-County Community Action Agency CurrentSince Sep 11, 2023 Accepting new patients

Locations

1126 Hartford Ave
Johnston, RI 02919
Phone (401) 351-2750

33 Maple St
North Providence, RI 02911
Phone (401) 351-2750

Interoperability endpoints

  • Direct secure messaging: amanda.masi.p4@direct.bvchc.nextgenshare.com

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, 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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1922675164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197109",
            "telephone_number": "401-519-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 HARTFORD AVE",
            "city": "JOHNSTON",
            "state": "RI",
            "postal_code": "029197109",
            "telephone_number": "401-519-1940",
            "fax_number": "401-519-1940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Maple St",
            "address_purpose": "LOCATION",
            "city": "North Providence",
            "state": "RI",
            "postal_code": "029112415",
            "country_code": "US",
            "telephone_number": "401-191-9405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASI",
        "first_name": "AMANDA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "ISW04461",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, RI

Sources for this page

Verify at the official NPI Registry.