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

Individual provider Rehabilitation Practitioner · NPI 1811449861

Robert McKensey Mack, LCSW, PPS is a Rehabilitation Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
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

333 S Beaudry Ave
Los Angeles, CA 90017-1466
Phone: (213) 241-3841
Fax: (213) 241-3305
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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 LCSW95367 (CA)
Rehabilitation Practitioner Taxonomy 225400000X

Record details

NPI number1811449861
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW , PPS
Sole proprietorNo
NPI enumeratedOctober 25, 2016
Last updated in NPPESNovember 24, 2025
Certification dateNovember 24, 2025

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