Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Carmen Phillip Masullo, LCSW

Individual provider Clinical Social Worker · NPI 1639229511

Carmen Phillip Masullo, LCSW is a Clinical Social Worker in Wake Forest, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1331 Wait Ave
Wake Forest, NC 27587-6985
Phone: (919) 556-5407
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C003315 (NC)

Record details

NPI number1639229511
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedJanuary 11, 2007
Last updated in NPPESOctober 7, 2013

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