National Provider Identifier
Simone Mack
Simone Mack is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 423-5800.
Profile Overview
- NPI
- 1083396121
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- August 07, 2023
- Last Updated
- August 07, 2023
Practice Location
- 82 Holland St
- Rochester, NY 14605-2199
Phone: (585) 423-5800
Mailing Address
- 82 Holland St
- Rochester, NY 14605-2131
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1083396121
- Entity Type
- Individual
- Last Name
- Mack
- First Name
- Simone
- Mailing Street Address
- 82 Holland St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14605-2131
- Mailing Country
- US
- Practice Street Address
- 82 Holland St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14605-2199
- Practice Country
- US
- Practice Phone
- (585) 423-5800
- Enumeration Date
- August 07, 2023
- Last Updated
- August 07, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 07, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)