Individual provider · Type 1 NPI

Amanda Marie Mack, LICSW

Clinical Social Worker · West Roxbury, MA

NPI number 1912595752 Active

Practice location

1400 Vfw Pkwy
West Roxbury, MA 02132-4927

Call (617) 390-4585 Map

Fax (857) 203-6565

Mailing address

865 Pleasant St
Bridgewater, MA 02324-2351

Specialties and licenses

TaxonomyCodeLicense
Social Worker 104100000X224322 (MA)
Clinical Social Worker Primary 1041C0700X126170 (MA)

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 1912595752

Amanda Marie Mack, LICSW's National Provider Identifier is 1912595752, issued on Jan 7, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in West Roxbury, MA. The record was last updated on Mar 10, 2023.