Individual
MR. CARL D LOSACCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
262 LEROY GEORGE DR, CLYDE, NC 28721-7430
(828) 452-8651
(828) 452-8393
Mailing address
262 LEROY GEORGE DR, CLYDE, NC 28721-7430
(828) 452-8651
(828) 452-8393
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C003753
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135RY
BLUE CROSS BLUE SHIELD
NC
01
—
541433
VALUE OPTIONS
NC
05
—
6003021
—
NC
Enumeration date
10/17/2006
Last updated
05/03/2012
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