Individual provider · Type 1 NPI
Chinna L. Mack, MSW, LCSW
Clinical Social Worker · Cheyenne, WY
Practice location
300 East 17th St
Cheyenne, WY 82001-4608
Fax (307) 635-7706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker | 104100000X | CSW-238 (WY) |
| Clinical Social Worker | 1041C0700X | PCSW-1036 (WY) |
| Social Worker | 104100000X | LCSW-1777 (WY) |
| Clinical Social Worker Primary | 1041C0700X | LCSW-1777 (WY) |
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 1154729713
Chinna L. Mack, MSW, LCSW's National Provider Identifier is 1154729713, issued on Dec 15, 2014. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Cheyenne, WY. The record was last updated on Mar 3, 2026.