Carl D Losacco, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C003753 Issued in NC

Practice address

262 Leroy George Dr
Clyde, NC 28721-7430

Phone

(828) 452-8651

Fax

(828) 452-8393

NPI assigned

Oct 17, 2006

Last updated

May 3, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1952482168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 LEROY GEORGE DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217430",
            "telephone_number": "828-452-8651",
            "fax_number": "828-452-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 LEROY GEORGE DR",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "287217430",
            "telephone_number": "828-452-8651",
            "fax_number": "828-452-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSACCO",
        "first_name": "CARL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C003753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "135RY",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003021",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "541433",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Craig Harrison Linger, MD
• Harry G Lipham, MD
• Kae Rivers Livsey
• Traci Nicole Lombard, DO
• Anna Elisa Lopez-Stratton, MD
• Greta Marie Lutman, LCMHC, LCAS
• Sarah E Mannle, NP
• David Dwight Markoff, MD
• James Douglas Marks, LMFT
• Susan Taylor Marks, LCSW

• Clinical Social Worker in Clyde, NC
• Providers in Clyde, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.