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

Individual provider Clinical Social Worker · NPI 1750719480

Mr. Jeremy Lee Mace, LCSW is a Clinical Social Worker in Susanville, California. Practices as a sole proprietor. Licensed in California and Wisconsin.

Licensed in
CA, WI
In the registry since
2013
Specialties on file
2
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

475-750 Rice Canyon Rd
Susanville, CA 96127
Phone: (530) 251-5100
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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 LCSW74014 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 129074-121 (WI)

Record details

NPI number1750719480
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedOctober 15, 2013
Last updated in NPPESAugust 31, 2023
Certification dateAugust 31, 2023

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