Individual provider · Type 1 NPI

Kira Y. Mack, LCSW

Clinical Social Worker · Lakewood, CO

NPI number 1629697016 Active

Practice location

3595 S Teller St
Lakewood, CO 80235-2014

Mailing address

4851 Independence St
Wheat Ridge, CO 80033-6715

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Clinical Social Worker 1041C0700XNone listed
Clinical Social Worker Primary 1041C0700XCSW.09924409 (CO)

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 1629697016

Kira Y. Mack, LCSW's National Provider Identifier is 1629697016, issued on Apr 15, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Lakewood, CO. The record was last updated on Jul 13, 2022.