EBONY MACK LCSW
NPI 1538959895
Social Worker - Clinical in Richmond, VA

Active since May 09, 2025
3317 WOODROW AVE, RICHMOND, VA 23222(646) 963-1103 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ebony Mack Lcsw NPPES

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

EBONY MACK LCSW (NPI 1538959895) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0904018396) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1538959895
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEBONY MACKCredential: LCSW
Location Address3317 WOODROW AVERichmond, VA 23222-2720
Mailing Address3317 Woodrow AveRichmond, VA 23222-2720 · (646) 963-1103
Sole ProprietorYes
Enumeration DateMay 9, 2025
NPPES CertifiedMay 9, 2025
NPI 1538959895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in VA · 0904018396
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.
3317 WOODROW AVE, Richmond, VA 23222

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
3317 WOODROW AVE
RICHMOND, VA 23222

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 Ebony Mack's NPI number?

The NPI number for Ebony Mack is 1538959895. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Where is Ebony Mack located?

Ebony Mack practices at 3317 Woodrow Ave, Richmond, VA 23222. The listed phone number is (646) 963-1103.

What is Ebony 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 Ebony Mack was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.