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CARMEN PHILLIP MASULLO LCSW
NPI 1639229511
Social Worker - Clinical in Wake Forest, NC

Active since January 11, 2007
1331 WAIT AVE, WAKE FOREST, NC 27587(919) 556-5407 Get Directions Write a Review

NPPES record last updated: October 7, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Carmen Phillip Masullo Lcsw NPPES

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

CARMEN PHILLIP MASULLO LCSW (NPI 1639229511) is an individual clinical provider in Wake Forest, North Carolina, licensed in North Carolina (C003315) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1639229511
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameCARMEN PHILLIP MASULLOCredential: LCSW
Location Address1331 WAIT AVEWake Forest, NC 27587-6985
Mailing Address1331 Wait AvenueWake Forest, NC 27587-6985 · (919) 556-5407
Phone(919) 556-5407
Sole ProprietorYes
Enumeration DateJanuary 11, 2007
Last NPPES UpdateOctober 7, 2013
✔ NPI 1639229511 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 NC · C003315
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.
1331 WAIT AVE, Wake Forest, NC 27587
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Other Identifiers 1

Medicaid6003657NC

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 Carmen Masullo's NPI number?

The NPI number for Carmen Masullo is 1639229511. It was assigned to this individual provider in the NPPES registry on January 11, 2007.

Where is Carmen Masullo located?

Carmen Masullo practices at 1331 Wait Ave, Wake Forest, NC 27587. The listed phone number is (919) 556-5407.

What is Carmen Masullo'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 Carmen Masullo was last updated on October 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.