Michael Edward Mace, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW60247155 Issued in WA

Practice address

1206 S Woodlawn St
Tacoma, WA 98465-2234

Phone

(253) 298-2007

Fax

(253) 564-1211

NPI assigned

Oct 11, 2012

Last updated

Dec 4, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480809600000",
    "number": "1245582451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 111659",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984111659",
            "telephone_number": "253-298-2007",
            "fax_number": "253-564-1211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 S WOODLAWN ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984652234",
            "telephone_number": "253-298-2007",
            "fax_number": "253-564-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACE",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-11",
        "last_updated": "2016-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "LW60247155",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60247155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Grace Mac Neill
• Christine Nacu Macatuno, MD
• Jessica Craik Macdonald, DPT
• Samantha Gaye Macdonald, LMP
• Stephanie Macduff
• Selah Jeannine Macedo
• Mary Elizabeth Macejunas
• Kaitlyn Leger Macek, PA-C
• Melissa Lorraine Macfadden, AA
• Diane Macfarlane

• Clinical Social Worker in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.