RICHARD J MACK LCSW
NPI 1700820792
Social Worker - Clinical in New York, NY
About Richard J Mack Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICHARD J MACK LCSW (NPI 1700820792) is an individual clinical provider in New York, New York, licensed in New York (73 076339) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Richard J Mack Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Richard Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10003
- Reassigned Medicare billing, New York enrollment
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10003 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10003
NEW YORK, NY 10003
NEW YORK, NY 10003
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 Richard Mack's NPI number?
The NPI number for Richard Mack is 1700820792. It was assigned to this individual provider in the NPPES registry on June 16, 2006.
Where is Richard Mack located?
Richard Mack practices at 5 E 17th St Fl 2, New York, NY 10003. The listed phone number is (212) 989-2990.
What is Richard Mack's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Richard Mack enrolled in Medicare?
Yes. Richard Mack is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Richard Mack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Richard Mack reassigns Medicare benefits to The Fifth Avenue Counseling Center, Inc. (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Richard Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Richard Mack was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.
# Richard J Mack, LCSW · NPI 1700820792
Clinical provider in New York, New York. Individual provider, active in the CMS NPPES registry since June 16, 2006.
## Identity
- **NPI:** 1700820792 (Entity type: Individual)
- **Enumerated:** June 16, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 73 076339 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 5 E 17TH ST FL 2, New York, NY 10003-1949
- **Phone:** (212) 989-2990 · **Fax:** (212) 792-6058
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** The Fifth Avenue Counseling Center, Inc. (NPI 1801037270, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** September 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1700820792) · Data from the CMS NPPES public registry.