Individual provider · Type 1 NPI
Carmen Phillip Masullo, LCSW
Clinical Social Worker · Wake Forest, NC
Practice location
1331 Wait Ave
Wake Forest, NC 27587-6985
Mailing address
1331 Wait Avenue
Wake Forest, NC 27587-6985
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | C003315 (NC) |
Clinical Social Worker: 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 interpers…
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About NPI 1639229511
Carmen Phillip Masullo, LCSW's National Provider Identifier is 1639229511, issued on Jan 11, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Wake Forest, NC. The record was last updated on Oct 7, 2013.