Individual provider Active NPI

Samantha Amelia Masi, LCSW

  • Clinical Social Worker
  • Lake Worth, FL
National Provider Identifier
1992357941
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19444 Issued in FL
Practice address
6767 Columbia Ave
Lake Worth, FL 33467-7357
Phone
(561) 352-1011
NPI assigned
Jul 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X ISW13749 FL
Clinical Social Worker 1041C0700X SW19444 FL Primary

Addresses

Primary practice location

6767 Columbia Ave
Lake Worth, FL 33467-7357

Mailing address

6767 Columbia Ave
Lake Worth, FL 33467-7357
Phone (561) 352-1011

Other practice location 1

3577 SW Corporate Pkwy
Palm City, FL 34990-8153
Phone (561) 352-1011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ISW13749FLMDClinical Social Worker
SW19444FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1992357941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 COLUMBIA AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677357",
            "telephone_number": "561-352-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 COLUMBIA AVE",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677357",
            "telephone_number": "561-352-1011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3577 SW Corporate Pkwy",
            "address_purpose": "LOCATION",
            "city": "Palm City",
            "state": "FL",
            "postal_code": "349908153",
            "country_code": "US",
            "telephone_number": "561-352-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASI",
        "first_name": "SAMANTHA",
        "middle_name": "AMELIA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "ISW13749",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.