Jasmyn Daquana Mack, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P020859 Issued in NC

Practice address

105 Yadkin St Ste 102
Albemarle, NC 28001-3458

Phone

(980) 323-5330

Fax

(980) 323-5331

NPI assigned

Jul 1, 2024

Sex

Female

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

Practice roles

Interoperability endpoints

• Direct secure messaging: jasmyn.mack.p1@direct.daymarkrecovery.nextgenshare.com
• Direct secure messaging: jmack744095@direct.ochin.org

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.

• Daymark Recovery Services, Inc.

  • Multi-Specialty Clinic/Center
  • Concord, NC
  • NPI 1558329243

  Counselor

  NPD (past)

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

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1316782345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 YADKIN ST STE 102",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013458",
            "telephone_number": "980-323-5330",
            "fax_number": "980-323-5331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "284 Executive Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280251833",
            "country_code": "US",
            "telephone_number": "704-933-1173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "363 Church St N Ste 260H",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "NC",
            "postal_code": "280254525",
            "country_code": "US",
            "telephone_number": "980-263-9065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "JASMYN",
        "middle_name": "DAQUANA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NC",
            "license": "P020859",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P020859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lutheran Home- Albemarle, Inc
• Lutheran Home- Albemarle, Inc.
• Jenny Mabry, PHARM D.
• Harjit Bala Mac, MD
• Surendrapal Sihgh Mac, MD
• James Darrell Mansfield, DDS
• James Lewis Marshall, OD
• Tina Page Martin, FNP
• Amanda Matthews, MA,LPA,HSP-PA,CSOTS
• Mauldin & Rokos, DDS, PA

• Clinical Social Worker in Albemarle, NC
• Providers in Albemarle, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.