C MARK MASSULLO LCSW
NPI 1396969242
Social Worker - Clinical in Chicago, IL
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
Specialties & Licenses
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.
CHICAGO, IL 60657
CHICAGO, IL 60657
CHICAGO, IL 60657
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.