DANIELLE ANDREE MACK (NPI# 1780228650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780228650 |
| Entity Type | Individual |
| Full Name | DANIELLE ANDREE MACK |
| Credential | LMSW-CC |
| Practice Address |
100 Gannett Dr South Portland ME 04106-5900 |
| Mailing Address |
Po Box 7044 Cape Porpoise ME 04014-7044 |
| Practice Telephone | 2078541030 |
| Practice Fax Number | 2078994623 |
| Mailing Telephone | 9107423771 |
| Enumeration Date | 2019-11-04 |
| Last Update Date | 2019-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
MC18207 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | MAINECARE | UNKNOWN | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669974168 | Danielle Mack | Specialist | 4611 Peachtree Ave, Louisville, KY 40215-2442 | 2018-03-01 |
| 1558875682 | Danielle Mack | Counselor | 6711 Arlington Ave Ste C, Riverside, CA 92504-1966 | 2017-11-28 |
| Street Address |
100 GANNETT DR |
| City | SOUTH PORTLAND |
| State | ME |
| Zip Code | 04106-5900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467422733 | Intermed Pa | Dermatology | 100 Gannett Dr, Suite C, South Portland, ME 04106-5900 | 2006-01-26 |
| 1164068128 | Samantha Blackadar | Social Worker | 100 Gannett Dr, South Portland, ME 04106-5900 | 2019-11-25 |
| 1114569001 | Julie Gaul | Social Worker | 100 Gannett Dr, South Portland, ME 04106-5900 | 2019-10-11 |
| 1477028488 | Felicia Erin Farnham | Social Worker | 100 Gannett Dr, South Portland, ME 04106-5900 | 2018-10-05 |
| 1689157323 | Jennifer H Duplessis | Social Worker | 100 Gannett Dr, South Portland, ME 04106-5900 | 2018-09-10 |
| 1609356567 | Emily Marron | Social Worker | 100 Gannett Dr, South Portland, ME 04106-5900 | 2018-08-20 |
| 1538603212 | Sarah Mildrum | Social Worker | 100 Gannett Dr, South Portland, ME 04106-5900 | 2016-12-14 |
| 1386007045 | Connections for Kids | Community/Behavioral Health | 100 Gannett Dr, South Portland, ME 04106-5900 | 2016-03-31 |
| 1548630221 | Allison Ruth Chase | Social Worker | 100 Gannett Dr, South Portland, ME 04106-5900 | 2015-10-07 |
| 1073759700 | Darrell Alexander Caron | Social Worker | 100 Gannett Dr, South Portland, ME 04106-5900 | 2008-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912513748 | Rayna Louise Sage | Behavior Technician | 50 Donald Beaver Drrive, Ste B, Portland, ME 04106 | 2020-09-17 |
| 1972127330 | Scott M Davis Md LLC | Internal Medicine | 89 Cannon Road, South Portland, ME 04106 | 2020-06-02 |
| 1568013936 | Clara Cassidy | Behavior Technician | 50 Donald Bean Dr, Ste B, South Portland, ME 04106 | 2019-09-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1588152193 | Kristen F. Pierce | Counselor | 100 Waterman Drive, Suite 201, South Portland, ME 04106 | 2018-04-30 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1154847721 | Integral Nutrition, LLC | Dietitian, Registered | 59 Baltimore Avenue, South Portland, ME 04106 | 2017-08-16 |
| 1730619610 | John Preston Powell | Psychiatry & Neurology | 68 B Street Apt 4, South Portland, ME 04106 | 2017-06-14 |
| 1649706268 | Gisselle Mani | Student in an Organized Health Care Education/Training Program | 30 Lydia Ln Apt 2115, South Portland, ME 04106 | 2017-05-02 |
| 1245786987 | Jonathan Frank Olmes | Optometrist | 335 Maine Mall Rd., South Portland, ME 04106 | 2016-09-01 |
| Find all providers in zip 04106 | ||||
| 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 |
|---|---|---|---|---|
| 1679115695 | New England Insight Counseling, LLC | Social Worker | 505r Ocean St, South Portland, ME 04106-6615 | 2019-10-10 |
| 1649779224 | Jennifer Rene Johnson | Social Worker | 135 Westbrook St, South Portland, ME 04106 | 2018-02-08 |
| 1093220253 | Lydia Martzial | Social Worker | 100 Gannett Dr Ste A, South Portland, ME 04106-5900 | 2017-12-11 |
| 1003335738 | Grace Nevins | Social Worker | 207 Gannett Dr # 3, South Portland, ME 04106-6910 | 2017-09-13 |
| 1154722338 | Caitlin Macvane | Social Worker | 100 Gannett Drive, South Portland, ME 04106 | 2014-09-08 |
| 1104267442 | Erin Daigle | Social Worker | 100 Waterman Dr Ste 201, South Portland, ME 04106-2880 | 2013-07-16 |
| 1003157884 | Penelope Faith Snow | Social Worker | 11 Riverplace Dr, #11-16, South Portland, ME 04106-2071 | 2013-03-05 |
| 1134464175 | Jennifer Stapleton | Social Worker | 125 John Roberts Rd Ste 12, South Portland, ME 04106-3295 | 2012-12-03 |
| 1790043909 | Andrew Newton Capone-sprague | Social Worker | 6 Gerry Ave, South Portland, ME 04106-6103 | 2012-04-25 |
| 1922329994 | Barron Morse Counseling Pllc | Social Worker | 609 Main St Ste 4, South Portland, ME 04106-5470 | 2010-06-14 |
| Find all providers in SOUTH PORTLAND | ||||
| City | SOUTH PORTLAND |
| Zip Code | 04106 |
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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.