Veronica Mack

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082989 Issued in NY

Practice address

200 E 3Rd St Ste 5
Jamestown, NY 14701-5433

Phone

(716) 661-8330

Fax

(716) 661-8364

NPI assigned

Mar 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: veronica.mack.1@22211.direct.athenahealth.com

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.

• County of Chautauqua - a Mun Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jamestown, NY
  • NPI 1902897374
  Medicare reassignment NPD
• County of Chautauqua - a Mun Corp

  • Ambulance
  • Mayville, NY
  • NPI 1992244404
  NPD

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1801281753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 RAYMOND ST",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147017841",
            "telephone_number": "716-499-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 3RD ST STE 5",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147015433",
            "telephone_number": "716-661-8330",
            "fax_number": "716-661-8364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147015623",
            "country_code": "US",
            "telephone_number": "716-483-4373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Institute St",
            "address_purpose": "LOCATION",
            "city": "Jamestown",
            "state": "NY",
            "postal_code": "147016628",
            "country_code": "US",
            "telephone_number": "716-484-4334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACK",
        "first_name": "VERONICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "veronica.mack.1@22211.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "emr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "107 Institute St",
            "city": "Jamestown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "147016628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lutheran Social Services of Upstate New York, Inc.
• Madeline Lynch, FNP-C
• Cody Constance Lyons
• Myles Joseph Lyons Jr.
• Dawn Maberry
• Jennifer Mackowiak
• Katie L Madden, PA-C
• William P Malenga, R.P.H.
• Katherine Manhart, RN
• Samantha Wanjun Manioci, PHARMD

• Clinical Social Worker in Jamestown, NY
• Providers in Jamestown, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.