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

Maxine Mack

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457801151

Maxine Mack is a Student in an Organized Health Care Education/Training Program in Panorama City, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

8215 Van Nuys Blvd
Panorama City, CA 91402-4810
Phone: (818) 855-2270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8330 Reseda Blvd, Northridge, CA 91324-4619 — (818) 996-1051

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 122455 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1457801151
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 6, 2016
Last updated in NPPESFebruary 12, 2025
Certification dateFebruary 12, 2025

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