Jamee Reynolds Mack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C015856 Issued in NC

Practice address

8025 N Point Blvd Ste 221
Winston Salem, NC 27106-3100

Phone

(336) 331-3341

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Jamee L Reynolds Former name

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Assured Community Services, LLC

  • Community/Behavioral Health Agency
  • Winston Salem, NC
  • NPI 1053925727

  Clinical

  NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1790818011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 ROSEDOWN CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271062960",
            "telephone_number": "646-584-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8025 N POINT BLVD STE 221",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063100",
            "telephone_number": "336-331-3341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Civic Center Plz",
            "address_2": "Suite 530",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126013156",
            "country_code": "US",
            "telephone_number": "845-462-1288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "JAMEE",
        "middle_name": "REYNOLDS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2023-09-20",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "073285",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C015856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMEE",
            "last_name": "REYNOLDS",
            "middle_name": "L",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ryan Phillip Macdonald
• Jessica Dale Macdougall
• Chelsey Rae Macedo, NP
• Drew Alan Macgregor, MD
• Rachel Kaplan Machatton, PA-C
• Jessica Leigh Mack, ACNP
• Jonathan Charles Lee Mack, MD
• Nicole Ryan Mack, MD
• Caroline Whitehill Mackellar, PA
• Heather Thompson Mackey, ANP

• Clinical Social Worker in Winston Salem, NC
• Providers in Winston Salem, 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 Sep 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.