MEDICARE: ALANNA MASONY MSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	BBH-LCSW-LIC-81224	MT
2	1041C0700X	Clinical Social Worker	SW25195	FL

General Provider Information

NPI Number	:	1275415325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALANNA MASONY MSW

Provider Business Mailing Address
First Line	:	3705 ENGLAND BLVD APT 225
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59808-5985
Country	:	US
Telephone Number	:	406-304-9955
Fax Number	:

Provider Business Practice Location Address
First Line	:	12220 TOWNE LAKE DR STE SUITE5
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33913-8013
Country	:	US
Telephone Number	:	239-645-3866
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/21/2025
Last Update Date	:	11/19/2025

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Directions to “ ALANNA MASONY MSW” Practice Location

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