MS. SANDRA M MACK (NPI# 1962571307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962571307 |
| Entity Type | Individual |
| Full Name | MS. SANDRA M MACK |
| Credential | MSW,CSW |
| Practice Address |
1 Presidential Blvd Suite 204 Bala Cynwyd PA 19004-1017 |
| Mailing Address |
2053 Brandywine St Philadelphia PA 19130-3204 |
| Practice Telephone | 6104703215 |
| Practice Fax Number | 2155681410 |
| Mailing Telephone | 2155681410 |
| Mailing Fax Number | 2155681410 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CW013656 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | PERSONAL CHOICE2 | 2172359000 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609252709 | Sandra D Mack | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2015-07-31 |
| 1992970586 | Sandra Louise Mack | Marriage & Family Therapist | 2280 Sunset Dr, Suite B2, Los Osos, CA 93402-4007 | 2008-04-24 |
| Street Address |
1 PRESIDENTIAL BLVD SUITE 204 |
| City | BALA CYNWYD |
| State | PA |
| Zip Code | 19004-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679938 | Laurence H Belkoff | Urology | 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004-1017 | 2005-06-14 |
| 1306385364 | Barbara Trunk | Dietitian, Registered | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 | 2017-02-22 |
| 1548630502 | Kimberly Mugler | Dietitian, Registered | 1 Presidential Blvd, Suite 203, Bala Cynwyd, PA 19004-1017 | 2015-10-03 |
| 1497158653 | Katina Nguyen | Dentist | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 | 2014-10-02 |
| 1477955375 | Urologic Consultants of Southeastern Pennsylvania LLP | Pathology | 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004-1017 | 2014-09-23 |
| 1134551146 | Arthur Fogelson | Dietitian, Registered | 1 Presidential Blvd, Bala Cynwyd, PA 19004-1017 | 2013-07-31 |
| 1215374806 | Your Wellness Consultants LLC | Dietitian, Registered | 1 Presidential Blvd, Suite 203, Bala Cynwyd, PA 19004-1017 | 2013-05-23 |
| 1588923643 | John Rickards | Clinic/Center | 1 Presidential Blvd, Suite 203, Bala Cynwyd, PA 19004-1017 | 2012-05-10 |
| 1609161207 | Urologic Consultants of Southeastern Pennsylvania, LLP | Radiology | 1 Presidential Blvd, Ste 100, Bala Cynwyd, PA 19004-1017 | 2011-06-13 |
| 1568681278 | Robert Tanenbaum | Psychologist | 1 Presidential Blvd, Suite 204, Bala Cynwyd, PA 19004-1017 | 2007-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831707819 | Katherine Lesher | Psychologist | 2 Bala Plaza Pl-13, Bala Plaza, PA 19004 | 2020-07-16 |
| 1144749342 | Apthcs | In Home Supportive Care | 150 Monument Road Suite 207, Bala Cynwyd, PA 19004 | 2017-09-19 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1003363235 | Catherine Kazanjian | Nurse Practitioner | 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 | 2016-09-06 |
| 1295181717 | Ruth Sampson-pilgrim | Nurse Practitioner | 160 Rock Hill Road, Vista Medical Services, Balacynwood, PA 19004 | 2016-05-13 |
| 1902252414 | Nurse Plus Home Care Agency,llc | In Home Supportive Care | Two Bala Plaza, Pmb #516, Suite 300, Bala Cynwyd, PA 19004 | 2016-05-13 |
| 1386010999 | Joan Lyall | Speech-Language Pathologist | 113 Ashland Avenue, Bala Cynwyd, PA 19004 | 2015-08-18 |
| 1922349158 | May W. Lee | Pediatrics | 130 E. Levering Mill Road, Bala Cynwyd, PA 19004 | 2013-03-13 |
| 1023362423 | Justin Carl Lavo | Physical Therapist | 100 Presidental Boulevard, Bala Cynwyd, PA 19004 | 2012-11-07 |
| 1689961765 | Cassio Castro | Dentist | 147 Montgomery Avenue, Bala Cynwyd, PA 19004 | 2011-07-08 |
| Find all providers in zip 19004 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412663 | Mary Anne Mccormick | Social Worker | 1 Bala Ave Ste 216, Bala Cynwyd, PA 19004-3207 | 2020-06-17 |
| 1447753025 | Sharon L Kimber | Social Worker | 133 Heather Rd Ste 205, Bala Cynwyd, PA 19004-3009 | 2018-03-09 |
| 1508389222 | Miriam Ray | Social Worker | 15 Montgomery Ave Apt 2b, Bala Cynwyd, PA 19004 | 2017-07-25 |
| 1588115422 | Candace Warren | Social Worker | 225 Presidential Blvd, Sutie 103 Office 211, Bala Cynwyd, PA 19004-1258 | 2016-10-15 |
| 1235595943 | Maria Connie Pandolfi | Social Worker | 191 Presidential Blvd Ste 104, Bala Cynwyd, PA 19004-1215 | 2016-01-11 |
| 1861829376 | Janet D Levit | Social Worker | 119 E Princeton Rd, Bala Cynwyd, PA 19004-2230 | 2013-09-28 |
| 1508126384 | Miriam E. Buchanan | Social Worker | 63 W Princeton Rd, Bala Cynwyd, PA 19004-2511 | 2012-05-25 |
| 1508090705 | Terry K Fisher | Social Worker | 452 Conshohocken State Rd, Bala Cynwyd, PA 19004-2641 | 2009-05-04 |
| 1588811913 | Barbara Weintraub | Social Worker | 542 Cynwyd Cir, Bala Cynwyd, PA 19004-2523 | 2008-08-27 |
| 1447419254 | John R Giugliano | Social Worker | 17 Bryn Mawr Ave, Bala Cynwyd, PA 19004-3110 | 2008-06-06 |
| Find all providers in BALA CYNWYD | ||||
| City | BALA CYNWYD |
| Zip Code | 19004 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.