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Contact Information

MEGAN MACK, LICSW
593 EDDY STREET
ALDRICH BLDG 3RD FLOOR DEPT OF CLINICAL SOCIAL WORK
PROVIDENCE, RI02303
 Phone: 401-444-3805
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MEGAN MACK · (Female)

NPI Number 1275313280
Status Active
Credentials LICSW (Licensed Independent Clinical Social Worker)
Entity Individual
Enumeration date 10/05/2023
Last updated 10/05/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • RI License # ISW02509
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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