Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MR. SAMUEL G MACK JR.
NPI 1710952916
Social Worker - Clinical in Tacoma, WA

Active since February 21, 2006
9040A FITZSIMMONS AVE, TACOMA, WA 98431(253) 968-4184 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Samuel G Mack Jr. NPPES

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

MR. SAMUEL G MACK JR. (NPI 1710952916) is an individual clinical provider in Tacoma, Washington, licensed in Michigan (6801065054) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1710952916
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. SAMUEL G MACK JR.
Location Address9040A FITZSIMMONS AVETacoma, WA 98431-0001
Mailing Address1311 Rowan CtDupont, WA 98327-8776 · (253) 968-4184
Sole ProprietorNo
Enumeration DateFebruary 21, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1710952916 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 MI · 6801065054
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.

9040A FITZSIMMONS AVE, Tacoma, WA 98431

Other Providers at the Same Location NPPES 3

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

Internal Medicine
9040A FITZSIMMONS AVE
TACOMA, WA 98431
Independent Medical Examiner
9040A FITZSIMMONS AVE, BLDG 9913A
TACOMA, WA 98431
General Practice
9040A FITZSIMMONS AVE
JBLM-TACOMA, WA 98431

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 Samuel Mack's NPI number?

The NPI number for Samuel Mack is 1710952916. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Samuel Mack located?

Samuel Mack practices at 9040A Fitzsimmons Ave, Tacoma, WA 98431. The listed phone number is (253) 968-4184.

What is Samuel 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 Samuel Mack was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.