Individual provider · Type 1 NPI

Jacqueline D. Mack

Clinical Social Worker · Orlando, FL

NPI number 1043065410 Active

Practice location

5386 Silver Star Rd Apt 325
Orlando, FL 32808-4445

Mailing address

PO Box 536862
Orlando, FL 32853-6862

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1043065410

Jacqueline D. Mack's National Provider Identifier is 1043065410, issued on Apr 19, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Orlando, FL. The record was last updated on Apr 23, 2024.