National Provider Identifier

Veronica Mack

Veronica Mack is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Jamestown, NY and a listed phone number of (716) 661-8330.

NPI 1801281753Jamestown, NYClinical Social Worker

Profile Overview

NPI
1801281753
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 30, 2015
Last Updated
April 05, 2021

Practice Location

  • 200 E 3Rd St Ste 5
  • Jamestown, NY 14701-5433

Phone: (716) 661-8330

Mailing Address

  • 19 Raymond St
  • Jamestown, NY 14701-7841

Specialties

  • Clinical Social Worker (1041C0700X)

Endpoints

  • veronica.mack.1@22211.direct.athenahealth.com

    Direct Messaging Address | Direct | Csv | Jamestown, NY 14701

    Emr

Full Record
NPI
1801281753
Entity Type
Individual
Last Name
Mack
First Name
Veronica
Mailing Street Address
19 Raymond St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701-7841
Mailing Country
US
Mailing Phone
(716) 499-9398
Practice Street Address
200 E 3Rd St Ste 5
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-5433
Practice Country
US
Practice Phone
(716) 661-8330
Practice Fax
(716) 661-8364
Enumeration Date
March 30, 2015
Last Updated
April 05, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 05, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)