Active NPIIndividual providerSole proprietor

Tiffany D Mack, LSW

Social Worker, Clinical in Lyons, New Jersey

NPI Number1205587292
Practice location
151 Knollcroft RD Bldg 53, Lyons, NJ 07939-5001
Fax
908-604-5836
Last updated
September 9, 2024

Tiffany Danielle Mack is a Social Worker, Clinical based in Lyons, NJ. Tiffany Danielle Mack practices in Lyons, NJ and has the professional credentials of LSW. The NPI Number for Tiffany Danielle Mack is 1205587292 and holds a License No. 44SC06232300 (NJ). The current practice location address for Tiffany Danielle Mack is 151 Knollcroft RD Bldg 53, Lyons, NJ 07939-5001 and can be reached out via phone at 908-647-0180 and via fax at 908-604-5836.

Provider Profile Details

NPI Number
1205587292
Provider Name
Tiffany Danielle Mack
Credential
LSW
Provider Entity Type
Individual
Gender
Female
Address
151 Knollcroft RD Bldg 53, Lyons, NJ 07939-5001
Phone Number
908-647-0180
Fax Number
908-604-5836
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 12, 2022
Last Update Date
September 9, 2024
Certification Date
September 9, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
151 Knollcroft RD Bldg 53
Lyons, NJ 07939-5001
City
Lyons
Zip
07939-5001
Phone Number
908-647-0180
Fax Number
908-604-5836
Lyons, NJ 07939Get directions →

Provider Business Mailing Address Details

Address
7000 Avalon Way Apt 7436
Piscataway, NJ 08854-7026
City
Piscataway
State
NJ
Zip
08854-7026
Phone Number
908-295-9888

License Information

License Number
44SC06232300
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tiffany D Mack, LSW?

The NPI number of Tiffany D Mack, LSW is 1205587292. It was assigned on January 12, 2022 and is currently active in the NPPES registry.

What is the specialty of Tiffany D Mack, LSW?

Tiffany D Mack, LSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06232300.

Where does Tiffany D Mack, LSW practice?

The practice location is 151 Knollcroft RD Bldg 53, Lyons, NJ 07939-5001. The office can be reached at 908-647-0180 (phone) or 908-604-5836 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205587292 directly on the NPPES registry website.

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