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General NPI Number Information
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NPI Number | 1215602313
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Entity Type | Individual
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Provider Name | DAVID MASOTTA LCSW
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Gender | Male
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 40 MAIN ST STE 16
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City | TORRINGTON
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State | CT
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Zip | 06790-5340
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Country | US
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Telephone | 203-805-8819
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Fax |
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Provider Business Mailing Address
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Address Line | 224 HUBBELL AVE
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City | WATERBURY
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State | CT
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Zip | 06708-1220
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Country | US
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Telephone | 203-560-5888
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 5027
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 013559
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License Number State | CT
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