LISA K MACK (NPI# 1629297346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629297346 |
| Entity Type | Individual |
| Full Name | LISA K MACK |
| Credential | L.S.W. |
| Practice Address |
1022 Hamburg Tpke Wayne NJ 07470-3209 |
| Practice Telephone | 9736941234 |
| Practice Fax Number | 9736330992 |
| Mailing Telephone | 9736941234 |
| Mailing Fax Number | 9736330992 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SL05343300 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306305248 | Lisa Danielle Mack | Registered Nurse | 1014 Harvest Grove Ct, Hope Mills, NC 28348-9272 | 2019-03-19 |
| 1154855872 | Lisa Mack | Specialist | 9351 Grant St Ste 480, Thornton, CO 80229-4375 | 2017-04-19 |
| 1366982852 | Lisa Mack | Student in an Organized Health Care Education/Training Program | 9040 Fitzsimmons Dr, Joint Base Lewis Mcchord, WA 98431-1000 | 2017-03-02 |
| 1568822252 | Lisa Pascal Mack | Nurse Practitioner | 150 Park St, Lawrence, MA 01841-2517 | 2016-02-24 |
| 1689985160 | Lisa Marie Mack | Obstetrics & Gynecology | 85 Seymour St, Suite 1019, Hartford, CT 06106-5501 | 2010-06-29 |
| 1235153990 | Lisa R Mack | Emergency Medicine | 550 Peachtree St Ne, Atlanta, GA 30308-2247 | 2006-07-27 |
| 1699731737 | Lisa Mack | Social Worker | 2389 Jarco Dr, Holt, MI 48842-1209 | 2006-04-26 |
| Street Address |
1022 HAMBURG TPKE |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-3209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063491967 | Wayne Counseling Center,inc. | Social Worker | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2006-01-10 |
| 1497353353 | Jennifer Scioscia | Marriage & Family Therapist | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2020-10-13 |
| 1104465897 | Erin Kathleen Short | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2019-12-30 |
| 1083065718 | Jodina Brizell | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2016-06-23 |
| 1114390135 | Estania Noel | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2015-11-13 |
| 1386031102 | Vivian Gemian | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2015-04-20 |
| 1386075729 | Lucille Amato | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2013-12-11 |
| 1174893994 | Kristen Michelle Tamke | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2012-01-10 |
| 1689992869 | Patricia Ann Kramer | Marriage & Family Therapist | 1022 Hamburg Tpke, Wayne Counseling Center and Family Services, Wayne, NJ 07470-3209 | 2010-05-12 |
| 1407080690 | Tara Tzipora Green | Counselor | 1022 Hamburg Tpke, Wayne, NJ 07470-3209 | 2009-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| 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 |
|---|---|---|---|---|
| 1275182750 | Erin Connolly | Social Worker | 329 Drummers Ln, Wayne, PA 19087-1548 | 2019-09-08 |
| 1215585310 | Laura P White | Social Worker | 506 Hamburg Tpke Ste 203, Wayne, NJ 07470-2069 | 2019-09-01 |
| 1851802227 | Whitney Luciano | Social Worker | 6 Beechwood Dr, Wayne, NJ 07470-5702 | 2017-10-12 |
| 1578083598 | Lindsay Meredith Heron | Social Worker | 1581 Route 23 Ste 2, Wayne, NJ 07470-7506 | 2017-06-21 |
| 1669907481 | Stella Freid | Social Worker | 39 Easedale Rd, Wayne, NJ 07470-2484 | 2017-04-30 |
| 1790218733 | Deborah Elizabeth Appel-berke | Social Worker | 35540 W Michigan Ave Ste 300, Wayne, MI 48184-1626 | 2017-04-06 |
| 1407204415 | Lashone Arnett | Social Worker | 40 Galesi Dr Ste 26, Wayne, NJ 07470-4841 | 2016-05-31 |
| 1720450034 | Heather Baron | Social Worker | 295 E Swedesford Rd # 173, Wayne, PA 19087-1462 | 2015-10-26 |
| 1841670247 | Melanie Lester | Social Worker | One Pike Drive, Jewish Family Service of North Jersey, Wayne, NJ 07470 | 2015-06-02 |
| 1346643962 | Erin Gonzalez | Social Worker | 35425 Michigan Ave W., Wayne, MI 48184-9800 | 2014-09-28 |
| Find all providers in WAYNE | ||||
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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.