Massa, Ciro Anthony

Massa, Ciro Anthony is an individual health care provider with primary practice located at 10 Higgins Hwy Ste 12 , Mansfield Center CT 06250-1437. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Massa, Ciro Anthony can be contacted via phone (888) 316-5221.

Contact Information

Primary practice address
10 Higgins Hwy Ste 12 Mansfield Center CT 06250-1437
Phone: (888) 316-5221
Fax: (866) 203-2138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000204 Connecticut
Behavioral Health & Social Service Providers / Clinical 1041C0700X 004254 Connecticut

Profile Details

NPI number 1497834428
LBN Legal business name Massa, Ciro Anthony
Credentials LCSW LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Feb 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497834428 NPPES
Connecticut MEDICAID 008004012

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