C MARK MASSULLO LCSW
NPI 1396969242
Social Worker - Clinical in Chicago, IL

Active since April 12, 2007
3166 N LINCOLN AVE, 310, CHICAGO, IL 60657(773) 296-9876 Get Directions Write a Review

NPPES record last updated: September 16, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About C Mark Massullo Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

C MARK MASSULLO LCSW (NPI 1396969242) is an individual clinical provider in Chicago, Illinois, licensed in Illinois (149-007721) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1396969242
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameC MARK MASSULLOCredential: LCSW
Location Address3166 N LINCOLN AVE, 310Chicago, IL 60657-3133
Mailing Address3166 N Lincoln Ave, 310Chicago, IL 60657-3133
Sole ProprietorYes
Enumeration DateApril 12, 2007
Last NPPES UpdateSeptember 16, 2012
NPI 1396969242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in IL · 149-007721
Definition

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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

3166 N LINCOLN AVE, Chicago, IL 60657

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
3166 N LINCOLN AVE, SUITE 217
CHICAGO, IL 60657
Counselor (Mental Health)
3166 N LINCOLN AVE
CHICAGO, IL 60657
Social Worker (Clinical)
3166 N LINCOLN AVE, SUITE 214
CHICAGO, IL 60657
Dentist
3166 N LINCOLN AVE, SUITE NO 317
CHICAGO, IL 60657
Psychologist (Clinical)
3166 N LINCOLN AVE, SUITE 304
CHICAGO, IL 60657
Social Worker (Clinical)
3166 N LINCOLN AVE, SUITE 303
CHICAGO, IL 60657
Social Worker (Clinical)
3166 N LINCOLN AVE, #214A
CHICAGO, IL 60657
Dentist (General Practice)
3166 N LINCOLN AVE, SUITE #300
CHICAGO, IL 60657

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is C Massullo's NPI number?

The NPI number for C Massullo is 1396969242. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is C Massullo located?

C Massullo practices at 3166 N Lincoln Ave 310, Chicago, IL 60657. The listed phone number is (773) 296-9876.

What is C Massullo's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for C Massullo was last updated on September 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.