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

Individual provider Clinical Social Worker · NPI 1063747772

Mrs. Ebony J Mac, LCSW is a Clinical Social Worker in Saint Louis, Missouri. Qualified in 2007, 19 years ago. Practices with Bjc Behavioral Health, a 64-clinician group and accepts Medicare assignment. Licensed in Missouri and Texas.

Years since qualifying
19
Licensed in
MO, TX
In the registry since
2009
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

401 Pine St
Saint Louis, MO 63102-2731
Phone: (314) 465-5351
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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 2009008986 (MO)
Clinical Social Worker Taxonomy 1041C0700X · Licence 110950 (TX)

Record details

NPI number1063747772
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedOctober 14, 2009
Last updated in NPPESMarch 13, 2026
Certification dateMarch 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Bjc Behavioral Health — 64 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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