Individual provider · Type 1 NPI

Jamie Lee Mack, LICSW

Clinical Social Worker · Mankato, MN

NPI number 1104663525 Active

Practice location

1600 Madison Ave Ste 110
Mankato, MN 56001-5820

Call (651) 346-3266 Map

Mailing address

118 Merlin Cir
Mankato, MN 56001-5732

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X23072 (MN)

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 1104663525

Jamie Lee Mack, LICSW's National Provider Identifier is 1104663525, issued on Jul 12, 2024. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Mankato, MN. The record was last updated on Jul 12, 2024.