Valerie Mack, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904009973 Issued in VA

Practice address

12801 Iron Bridge Rd Ste 400
Chester, VA 23831-1669

Phone

(804) 768-0295

Fax

(804) 768-8001

NPI assigned

Aug 3, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Goshen Wellness Center

  • Community/Behavioral Health Agency
  • Chester, VA
  • NPI 1699345553
  NPD Authorized official

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1891210514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1482",
            "city": "CHESTERFIELD",
            "state": "VA",
            "postal_code": "238329104",
            "telephone_number": "804-514-2385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12801 IRON BRIDGE RD STE 400",
            "city": "CHESTER",
            "state": "VA",
            "postal_code": "238311669",
            "telephone_number": "804-768-0295",
            "fax_number": "804-768-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACK",
        "first_name": "VALERIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-03",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904009973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rocio Del Pilar Lopez, D.D.S
• Love and Hope Family Services, LLC
• Lindsey Faith Lubin, PA-C
• Tracie Dobyns Lumpkin, PA
• LVN Waters Health and Wellness
• Katrina Macklin
• Sheena Marie Maggi
• Barbara Ann Mahoney, FNP
• Mai Anesthesia Solutions
• Angie Malonee, DOCTOR OF PHYSICAL T

• Clinical Social Worker in Chester, VA
• Providers in Chester, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2017; 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.