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

Tiffany Danielle Mack, LSW

Individual provider Clinical Social Worker · NPI 1205587292

Tiffany Danielle Mack, LSW is a Clinical Social Worker in Lyons, New Jersey. Qualified in 2017, 9 years ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2022
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

151 Knollcroft Rd Bldg 53
Lyons, NJ 07939-5001
Phone: (908) 647-0180
Fax: (908) 604-5836
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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 44SC06232300 (NJ)

Record details

NPI number1205587292
Entity typeIndividual (Type 1)
GenderFemale
Credentials LSW
Sole proprietorYes
NPI enumeratedJanuary 12, 2022
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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