WILLIAM J. MASSINGER IV (NPI# 1255466371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255466371 |
| Entity Type | Individual |
| Full Name | WILLIAM J. MASSINGER IV |
| Credential | LCSW |
| Practice Address |
504 Lakeside Drive Southampton PA 18966 |
| Practice Telephone | 2153540777 |
| Practice Fax Number | 2153540772 |
| Mailing Telephone | 2152644550 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2011-06-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW008523L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | UBH | 242694251 | 01 |
| PA | PERSONAL CHOICE | 2006808000 | 01 |
| PA | HIGHMARK BLUE SHIELD | MA1312953 | 01 |
| Street Address |
504 LAKESIDE DRIVE |
| City | SOUTHAMPTON |
| State | PA |
| Zip Code | 18966 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487796413 | Kyle Francis Walsh | Counselor | 504 Lakeside Drive, Southampton, PA 18966 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033758636 | Nancy Rubin | Speech-Language Pathologist | Nancy Rubin, 32 Brook Drive, Southampton, PA 18966 | 2019-12-30 |
| 1265970669 | Dominic Bogucki | Specialist/Technologist | 75 Meadowfield Dr, Southampton, PA 18966 | 2017-02-06 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1386988830 | Sara Beth Bergman | Occupational Therapy Assistant | 1354 Hi View Drive, Southampton, PA 18966 | 2012-11-22 |
| 1326325523 | Annie Varughese | Pharmacist | 139 Lark Dr, Holland, PA 18966 | 2011-11-16 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1407134125 | Apex Smiles LLC | Dentist | 771 2nd Street Pike, Southampton, PA 18966 | 2011-07-29 |
| 1790092708 | The Comprehensive Learning Center, Inc. | Community/Behavioral Health | 150 James Way, Southampton, PA 18966 | 2010-09-13 |
| 1861713786 | Austin Patrick Daly | Dentist | 404 Lakeside Park, Southampton, PA 18966 | 2010-06-15 |
| 1164660015 | Andrew J Sohl | Podiatrist | 86 Buck Rd Ste 2, Southampton, PA 18966 | 2009-01-30 |
| Find all providers in zip 18966 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952916090 | Alternative Solutions of Pa LLC | Social Worker | 758 2nd Street Pike Ste B, Southampton, PA 18966-3972 | 2020-09-15 |
| 1518404359 | Amanda Phillips | Social Worker | 504 Lakeside Office Park, Suite 504, Southampton, PA 18966 | 2017-01-31 |
| 1629468079 | Barbara Jacovelli | Social Worker | 26 Sebonac Rd, Southampton, NY 11968-2725 | 2015-01-23 |
| 1174955280 | Harriet M Cohen | Social Worker | 9 Ocean View Pkwy, Southampton, NY 11968-5507 | 2013-07-31 |
| 1144666496 | Che Senior Care Therapy Services PC | Social Worker | 928 Jaymor Rd Ste C-120, Southampton, PA 18966-3835 | 2013-05-14 |
| 1912284993 | Christine Renee Nichols | Social Worker | 1030 Second Street Pike, Southampton, PA 18966 | 2011-11-04 |
| 1528298510 | Joanna Komoska | Social Worker | 355 Sebonac Rd, Southampton, NY 11968-2720 | 2009-07-23 |
| 1518109503 | Laraine Diane Gordon | Social Worker | 26 Henry St, Southampton, NY 11968-4016 | 2009-04-06 |
| 1386764488 | Keven S Bridge | Social Worker | 137 Hampton Rd, Southampton, NY 11968-4923 | 2007-03-30 |
| 1659400067 | Jennifer S Dagia | Social Worker | 928 Jaymor Rd Ste B-150, Southampton, PA 18966-3853 | 2007-03-02 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 18966 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.