Deborah Lorraine Mack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW18224 Issued in AZ

Practice address

9950 N Camino de Oeste
Tucson, AZ 85742-9119

Phone

(520) 440-5042

NPI assigned

Apr 20, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: deborah.mack.1@15578.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Upward Health of Arizona LLC

  • General Practice Physician
  • Phoenix, AZ
  • NPI 1801526009
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587340800000",
    "number": "1124648175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9950 N CAMINO DE OESTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429119",
            "telephone_number": "520-440-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9950 N CAMINO DE OESTE",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857429119",
            "telephone_number": "520-440-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "DEBORAH",
        "middle_name": "LORRAINE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2020-04-20",
        "certification_date": "2020-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW18224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nohemi Maciel, LCSW
• James E Maciulla, MD
• Annika Simone Mack, DNP, FNP-BC
• Curtis F Mack, M.D.
• David Charles Mack, LICSW(MA), LCSW(AZ)
• Jeffrey T. Mack, M.D.
• Lamar Dion Mack, MBA
• Shirley A. Mack
• Alexandra L Mackay, DPT
• Andrew Michael Mackelprang, O.D.

• Clinical Social Worker in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.