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

Ebony Mack, LCSW

Individual provider Clinical Social Worker · NPI 1538959895

Ebony Mack, LCSW is a Clinical Social Worker in Richmond, Virginia. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2025
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3317 Woodrow Ave
Richmond, VA 23222-2720
Phone: (646) 963-1103
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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 0904018396 (VA)

Record details

NPI number1538959895
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMay 9, 2025
Last updated in NPPESMay 9, 2025
Certification dateMay 9, 2025
Mailing address3317 Woodrow Ave, Richmond, VA 23222-2720

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