MEDICARE: EMILY MASOTTI LCSW PLLC

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

General Provider Information

NPI Number	:	1669326393
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EMILY MASOTTI LCSW PLLC

Provider Business Mailing Address
First Line	:	101 LANG BLVD STE 1
Second Line	:
City	:	GRAND ISLAND
State	:	NY
Zip	:	14072-1601
Country	:	US
Telephone Number	:	716-219-8494
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 LANG BLVD STE 1
Second Line	:
City	:	GRAND ISLAND
State	:	NY
Zip	:	14072-1601
Country	:	US
Telephone Number	:	716-219-8494
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	EMILY MASOTTI
Credential	:	LCSW
Telephone Number	:	716-219-8494

Provider Enumeration Date	:	02/20/2026
Last Update Date	:	02/20/2026

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