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RACHAEL MACK LLMSW NPI 1548667579


NPI Information

NPI: 1548667579
Provider Name: RACHAEL MACK, LLMSW
Classification: Social Worker - 104100000X
Entity Type: Individual
Address:
790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 336-3765
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Rachael Mack, LLMSW is a social worker in Grand Rapids, MI. The provider is a social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. Rachael Mack, LLMSW NPI is 1548667579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

790 FULLER AVE NE
GRAND RAPIDS, MI
ZIP 49503-918
Phone: (616) 336-3765

The enumeration date for this NPI number is 11/19/2014 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial Worker6801096708MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11715928MEDICAIDMICHIGAN
2383274841OTHERMICHIGANCOMMERCIAL INSURANCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.