Individual provider · Type 1 NPI
Samuel G. Mack Jr.
Clinical Social Worker · Tacoma, WA
Practice location
9040A Fitzsimmons Ave
Tacoma, WA 98431-0001
Mailing address
1311 Rowan Ct
Dupont, WA 98327-8776
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 6801065054 (MI) |
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…
3 other providers at this address
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About NPI 1710952916
Samuel G. Mack Jr.'s National Provider Identifier is 1710952916, issued on Feb 21, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Tacoma, WA. The record was last updated on Jul 13, 2026.