Individual provider Active NPI

Daquana Mack, LISW-CP

  • Social Worker
  • Columbia, SC
National Provider Identifier
1376912741
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11334 Issued in SC
Practice address
300 Spartan Dr
Columbia, SC 29212-3622
Phone
(803) 308-1762
NPI assigned
Sep 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11334 SC Primary

Addresses

Primary practice location

300 Spartan Dr
Columbia, SC 29212-3622

Mailing address

300 Spartan Dr
Columbia, SC 29212-3622
Phone (803) 308-1762

Other practice location 1

3310 Magnolia St
Orangeburg, SC 29115-1466
Phone (803) 531-6900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20190522000194 SC Practitioner - Clinical Social Worker 0749576254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11334SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Helping Others Pursue Excellence, LLC Social Worker CurrentSince Mar 9, 2018 Accepting new patients

Locations

845 Holly St
Orangeburg, SC 29115
Phone (803) 809-0027

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1376912741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 SPARTAN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123622",
            "telephone_number": "803-308-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SPARTAN DR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292123622",
            "telephone_number": "803-308-1762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3310 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291151466",
            "country_code": "US",
            "telephone_number": "803-531-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "DAQUANA",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "11334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.