Individual provider · Type 1 NPI

Tiffany Danielle Mack, LSW

Clinical Social Worker · Lyons, NJ

NPI number 1205587292 Active

Practice location

151 Knollcroft Rd Bldg 53
Lyons, NJ 07939-5001

Fax (908) 604-5836

Mailing address

7000 Avalon Way Apt 7436
Piscataway, NJ 08854-7026

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC06232300 (NJ)

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 1205587292

Tiffany Danielle Mack, LSW's National Provider Identifier is 1205587292, issued on Jan 12, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lyons, NJ. The record was last updated on Sep 9, 2024.