Individual provider Active NPI

Amy Mack, LCSW

  • Clinical Social Worker
  • Bryn Mawr, PA
National Provider Identifier
1467711895
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW014731 Issued in PA
Practice address
234 S Bryn Mawr Ave Ste 202
Bryn Mawr, PA 19010-2133
Phone
(267) 250-4628
NPI assigned
May 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW014731 PA Primary

Addresses

Primary practice location

234 S Bryn Mawr Ave Ste 202
Bryn Mawr, PA 19010-2133

Mailing address

1024 E Lancaster Ave FL 1
Bryn Mawr, PA 19010-1409
Phone (267) 203-4175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CW014731PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aek Consulting LLC Clinical CurrentSince Aug 13, 2023 Accepting new patients

Locations

234 S Bryn Mawr Ave
Ste 202
Bryn Mawr, PA 19010
Phone (610) 525-0390

1024 E Lancaster Ave
Fl 1
Bryn Mawr, PA 19010
Phone (267) 203-4175

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": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1467711895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 E LANCASTER AVE FL 1",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190101409",
            "telephone_number": "267-203-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 S BRYN MAWR AVE STE 202",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190102133",
            "telephone_number": "267-250-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "AMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW014731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.