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AMY L MACK LICSW
NPI 1104241066
Social Worker - Clinical in Cicero, NY

Active since February 28, 2014
5708 S BAY RD, CICERO, NY 13039(315) 897-5699(315) 302-9599 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 4, 2026, May 11, 2023, Jul 9, 2021 and 3 more (6 updates tracked since 2018).

About Amy L Mack Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY L MACK LICSW (NPI 1104241066) is an individual clinical provider in Cicero, New York, licensed in New York (090752) and active in the NPI registry since February 2014. She maintains a secondary practice location in Manlius.

NPPES Registry Identity

NPI1104241066
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameAMY L MACKCredential: LICSW
Location Address5708 S BAY RDCicero, NY 13039-8652
Mailing Address5708 S Bay RdCicero, NY 13039-8652 · (315) 897-5699 · Fax (315) 302-9599
Phone(315) 897-5699
Fax(315) 302-9599
Sole ProprietorNo
Enumeration DateFebruary 28, 2014
Last NPPES UpdateMarch 4, 20266 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1104241066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in NY · 090752✔ Licensed in NH · 1843
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
5708 S BAY RD, Cicero, NY 13039
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Other Names 1

Former Name (1)Amy Vandusen

Secondary Practice Location 1

Location 18195 Cazenovia RdManlius, NY 13104-9631 · Phone (315) 415-1510

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIANNA ELLINGWORTH LMHC-D
Counselor (Mental Health)
5708 S BAY RD
CICERO, NY 13039
Onondaga County (315) 207-4803
GILLIAN ROSE LMHC, CASAC-M
Counselor (Mental Health)
5708 S BAY RD
CICERO, NY 13039
Onondaga County (315) 217-1349

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Mack's NPI number?

The NPI number for Amy Mack is 1104241066. It was assigned to this individual provider in the NPPES registry on February 28, 2014. The provider is also known as Amy Vandusen.

Where is Amy Mack located?

Amy Mack practices at 5708 S Bay Rd, Cicero, NY 13039. The listed phone number is (315) 897-5699.

What is Amy Mack's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Amy Mack was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.