Individual provider · Type 1 NPI

Amy L. Mack, LICSW

Clinical Social Worker · Cicero, NY

NPI number 1104241066 Active

Practice location

5708 S Bay Rd
Cicero, NY 13039-8652

Fax (315) 302-9599

Other practice locations

  • 8195 Cazenovia Rd, Manlius, NY 13104-9631 · (315) 415-1510

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X090752 (NY)
Clinical Social Worker 1041C0700X1843 (NH)

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 1104241066

Amy L. Mack, LICSW's National Provider Identifier is 1104241066, issued on Feb 28, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cicero, NY. The record was last updated on Mar 4, 2026.