Individual provider · Type 1 NPI

Maxine Mack

Clinical Social Worker · Panorama City, CA

NPI number 1457801151 Active

Practice location

8215 Van Nuys Blvd
Panorama City, CA 91402-4810

Mailing address

8330 Reseda Blvd
Northridge, CA 91324-4619

Other practice locations

  • 8330 Reseda Blvd, Northridge, CA 91324-4619 · (818) 996-1051

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Social Worker Primary 1041C0700X122455 (CA)

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 1457801151

Maxine Mack's National Provider Identifier is 1457801151, issued on Oct 6, 2016. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Panorama City, CA. The record was last updated on Feb 12, 2025.