Amanda M Mack, LICSW
Social Worker, Clinical in West Roxbury, Massachusetts
1912595752- Practice location
- 1400 Vfw Pkwy, West Roxbury, MA 02132-4927
- Phone
- 617-390-4585
- Fax
- 857-203-6565
- Last updated
- March 10, 2023
Amanda Marie Mack is a Social Worker, Clinical based in West Roxbury, MA. Amanda Marie Mack practices in West Roxbury, MA and has the professional credentials of LICSW. The NPI Number for Amanda Marie Mack is 1912595752 and holds a License No. 224322 (MA). The current practice location address for Amanda Marie Mack is 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 and can be reached out via phone at 617-390-4585 and via fax at 857-203-6565.
Provider Profile Details
- NPI Number
- 1912595752
- Provider Name
- Amanda Marie Mack
- Credential
- LICSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1400 Vfw Pkwy, West Roxbury, MA 02132-4927
- Phone Number
- 617-390-4585
- Fax Number
- 857-203-6565
- Primary Taxonomy
- Social Worker, Clinical · 1041C0700X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 7, 2021
- Last Update Date
- March 10, 2023
- Certification Date
- March 10, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1400 Vfw Pkwy
West Roxbury, MA 02132-4927 - City
- West Roxbury
- State
- Massachusetts
- Zip
- 02132-4927
- Phone Number
- 617-390-4585
- Fax Number
- 857-203-6565
Provider Business Mailing Address Details
- Address
- 865 Pleasant St
Bridgewater, MA 02324-2351 - City
- Bridgewater
- State
- MA
- Zip
- 02324-2351
- Phone Number
- 781-812-3393
License Information
- License Number (1)
- 224322
- License State (1)
- MA
- Taxonomy (1)
- Social Worker · 104100000X
- License Number (2)
- 126170
- License State (2)
- MA
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Social Worker, Clinical providers near West Roxbury, MA
View all Social Worker, Clinical providers in West Roxbury →- Aaron Beller, MSWSocial Worker, Clinical · NPI 1174837561
- Amanda Hoell, LCSWSocial Worker, Clinical · NPI 1871798942
- Amber E FrostSocial Worker, Clinical · NPI 1417502337
- Amy SandlerSocial Worker, Clinical · NPI 1275268070
- Andrea Perry, LICSWSocial Worker, Clinical · NPI 1629553227
- Ari ComartSocial Worker, Clinical · NPI 1063967602
Frequently Asked Questions
What is the NPI number of Amanda M Mack, LICSW?
The NPI number of Amanda M Mack, LICSW is 1912595752. It was assigned on January 7, 2021 and is currently active in the NPPES registry.
What is the specialty of Amanda M Mack, LICSW?
Amanda M Mack, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in MA under license number 224322.
Where does Amanda M Mack, LICSW practice?
The practice location is 1400 Vfw Pkwy, West Roxbury, MA 02132-4927. The office can be reached at 617-390-4585 (phone) or 857-203-6565 (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 1912595752 directly on the NPPES registry website.