SUSAN MACK (NPI# 1093986747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093986747 |
| Entity Type | Individual |
| Full Name | SUSAN MACK |
| Credential | LCSW |
| Practice Address |
107 S 5th St Richmond VA 23219-3825 |
| Practice Telephone | 8048194000 |
| Mailing Telephone | 8048194000 |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2008-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904006800 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 4945255 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790082436 | Susan L Mack | Homeopath | 6484 Ford Rd, Flowery Branch, GA 30542-2636 | 2011-02-15 |
| 1669616793 | Susan Mack | Speech-Language Pathologist | 15 Dovehill Cir, Penfield, NY 14526-1981 | 2009-04-20 |
| 1003808270 | Susan Ann Mack | Nurse Practitioner | 514 Teela Ln, Des Plaines, IL 60016-1230 | 2005-08-16 |
| 1235492356 | Susan Melissa Mack | Massage Therapist | 18407 Pacific Ave S, Spanaway, WA 98387-8374 | 2012-06-22 |
| 1356596217 | Susan Mack | Occupational Therapist | 4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700 | 2008-11-19 |
| 1396955316 | Susan J Mack | Nurse Practitioner | 929 Stacy Burk Drive, Flora, IL 62839 | 2007-05-22 |
| 1750490538 | Susan M Mack | Physical Therapist | 1830 112th St E, Ste D, Tacoma, WA 98445-3747 | 2006-08-29 |
| Street Address |
107 S 5TH ST |
| City | RICHMOND |
| State | VA |
| Zip Code | 23219-3825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689690026 | Geraldine Tillett Neely | Social Worker | 107 S 5th St, Richmond, VA 23219-3825 | 2006-07-15 |
| 1619575107 | Ebony Johnson | Social Worker | 107 S 5th St, Richmond, VA 23219-3825 | 2020-10-15 |
| 1093312506 | Furdous Mahdi Eltahir | Nurse Practitioner | 107 S 5th St, Richmond, VA 23219-3825 | 2020-10-07 |
| 1154928364 | Leigh Anne Zylstra | Social Worker | 107 S 5th St, Richmond, VA 23219-3825 | 2020-10-01 |
| 1235746777 | Celeste Mckinney | Counselor | 107 S 5th St, Richmond, VA 23219-3825 | 2020-09-29 |
| 1194332783 | Baniela J. Taylor | Social Worker | 107 S 5th St, Richmond, VA 23219-3825 | 2020-09-28 |
| 1518573690 | Amber Nicole Mendoza | Social Worker | 107 S 5th St, Richmond, VA 23219-3825 | 2020-09-23 |
| 1891305611 | Rebecca Ivy Cohen | Counselor | 107 S 5th St, Richmond, VA 23219-3825 | 2020-08-06 |
| 1346859204 | Michael Walter Beach | Social Worker | 107 S 5th St, Richmond, VA 23219-3825 | 2020-07-27 |
| 1518575315 | Wendy Dorsey | Social Worker | 107 S 5th St, Richmond, VA 23219-3825 | 2020-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306337910 | Patricia Young Flynn | Psychologist | Richmond Public Schools, Dept. of Exceptional Education, 301 N. Ninth Street, Richmond, VA 23219 | 2018-05-21 |
| 1558859173 | Marie Rhodes-dawson | Psychologist | 301 North Ninth Street, Richmond, VA 23219 | 2018-04-30 |
| 1639674369 | Kelly Schmid Mccrowell | Psychologist | 301 N. 9th Street, Psychological Services/exceptional Education, Richmond, VA 23219 | 2018-03-26 |
| 1104321033 | Veronica Leigh Wiles | Occupational Therapist | 301 North 9th Street, Exceptional Education, Richmond, VA 23219 | 2018-03-23 |
| 1780103234 | Brandy Lakesha Rushing | Counselor | 107 S. 5th Street, Richmond, VA 23219 | 2017-09-15 |
| 1134676679 | Richa Chibbar | Student in an Organized Health Care Education/Training Program | 230 N 6th St, Unit 204, Richmond, VA 23219 | 2016-09-01 |
| 1578974788 | Kinlee Stewart | Counselor | 409 E. Main St, #204, Richmond, VA 23219 | 2014-05-12 |
| 1760814941 | Ivey Contacting Service,inc | Day Training, Developmentally Disabled Services | 501 East Frnklin St Stu 724, Richmond, VA 23219 | 2013-07-30 |
| 1154665883 | Ashley Hoover Rhoades | Nurse Practitioner | 701 East Byrd Street, Diamond Health Group, Richmond, VA 23219 | 2012-11-19 |
| 1932461852 | New Legacy Youth Services, LLC | Community/Behavioral Health | 904 North 1st Street, Richmond, VA 23219 | 2012-06-15 |
| Find all providers in zip 23219 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709714 | Jennifer Lynn Sistrunk | Social Worker | 5608 Riverside Heights Way, Richmond, VA 23225-2478 | 2020-10-29 |
| 1023618311 | John Francis Feeney | Social Worker | 1108 E Main St Ste 900, Richmond, VA 23219-3522 | 2020-10-27 |
| 1891394839 | Amanda Firestone LLC | Social Worker | 2804 Griffin Ave, Richmond, VA 23222-3629 | 2020-10-21 |
| 1306443312 | Higgins Center for Healing, LLC | Social Worker | 3311 W Broad St # 212, Richmond, VA 23230-5000 | 2020-10-02 |
| 1902410400 | Libby Tofflemire | Social Worker | 601 Boroughbridge Rd, Richmond, VA 23225-6218 | 2020-09-02 |
| 1275146235 | Chelsea Barbara Hooker | Social Worker | 444 Kingstown Rd, Richmond, RI 02892-1105 | 2020-08-28 |
| 1649883232 | Silka Graciela Steele | Social Worker | 700 Everett St Apt 2135, Richmond, VA 23224-0015 | 2020-08-25 |
| 1588275770 | Melani Jones | Social Worker | 10825 Midlothian Turnpike Ste 201r, Richmond, VA 23235 | 2020-08-12 |
| 1427668706 | Samantha Joan Coppola | Social Worker | 3220 Brook Rd Apt 203, Richmond, VA 23227-4850 | 2020-08-03 |
| 1053921395 | Rachelle Lee Butler | Social Worker | 2820 E Broad St Apt A, Richmond, VA 23223-7342 | 2020-08-02 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.