Individual provider · Type 1 NPI

Shayde Mack

Clinical Social Worker · Appleton, WI

NPI number 1730808452 Active

Practice location

4635 W College Ave
Appleton, WI 54914-8507

Call (920) 750-7000 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XNone listed

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 1730808452

Shayde Mack's National Provider Identifier is 1730808452, issued on Aug 25, 2022. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Appleton, WI. The record was last updated on Mar 17, 2025.