Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda Marie Mack, LICSW

Individual provider Social Worker · NPI 1912595752

Amanda Marie Mack, LICSW is a Social Worker in West Roxbury, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2021.

Licensed in
MA
In the registry since
2021
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

1400 Vfw Pkwy
West Roxbury, MA 02132-4927
Phone: (617) 390-4585
Fax: (857) 203-6565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 126170 (MA)
Social Worker Taxonomy 104100000X · Licence 224322 (MA)

Record details

NPI number1912595752
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJanuary 7, 2021
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023

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