Sandra M. Mack

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW013656 Issued in PA

Legal business name

SANDRA M. MACK

Practice address

1 Presidential Blvd
Suite 204
Bala Cynwyd, PA 19004-1017

Phone

(610) 470-3215

Fax

(215) 568-1410

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sandra M. Mack, MSW, CSWNPI 1962571307

Title

Owner

Phone

(610) 470-3215

Specialties & licenses 1

Addresses

Other names 1

• Confidential Care Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra M Mack, MSW,CSW

  • Clinical Social Worker
  • Bala Cynwyd, PA
  • NPI 1962571307
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497801575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 BRANDYWINE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191303204",
            "telephone_number": "610-470-3215",
            "fax_number": "215-568-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PRESIDENTIAL BLVD",
            "address_2": "SUITE 204",
            "city": "BALA CYNWYD",
            "state": "PA",
            "postal_code": "190041017",
            "telephone_number": "610-470-3215",
            "fax_number": "215-568-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA M. MACK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-470-3215",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, CSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Confidential Care Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marshall Harris Sager, DO
• Carlie Saint Laurent
• Maya Saketkhou, DMD
• Farida Elizabeth Saleem, MS, LMFT
• Chelsea Rose Saltzman, RD
• Cheryl L Sanfacon, M.D.
• Sani Khatam & Anderson PC
• Bahman Sanikhatam, DMD
• Maritza Santiago
• Lynn J Santilli

• Clinical Social Worker in Bala Cynwyd, PA
• Providers in Bala Cynwyd, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.