1. Home
  2. Directory
  3. Wisconsin
  4. Appleton
  5. Social Worker
  6. NPI Profile

SHAYDE MACK
NPI 1730808452
Social Worker - Clinical in Appleton, WI

Active since August 25, 2022
4635 W COLLEGE AVE, APPLETON, WI 54914(920) 750-7000 Get Directions Write a Review

NPPES record last updated: March 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2025, Aug 25, 2022 (2 updates tracked since 2022).

About Shayde Mack NPPES

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

SHAYDE MACK (NPI 1730808452) is an individual clinical provider in Appleton, Wisconsin and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1730808452
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSHAYDE MACK
Location Address4635 W COLLEGE AVEAppleton, WI 54914-8507
Mailing Address4635 W College AveAppleton, WI 54914-8507 · (920) 750-7000
Phone(920) 750-7000
Sole ProprietorNo
Enumeration DateAugust 25, 2022
Last NPPES UpdateMarch 17, 20252 updates tracked since enumeration
NPPES CertifiedMarch 17, 2025
✔ NPI 1730808452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
4635 W COLLEGE AVE, Appleton, WI 54914
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

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.

YER THAO
Counselor (Professional)
4635 W COLLEGE AVE
APPLETON, WI 54914
Outagamie County (920) 750-7000
STEPHANIE SHIREY
Nurse Practitioner (Psychiatric/Mental Health)
4635 W COLLEGE AVE
APPLETON, WI 54914
Outagamie County (920) 750-7000
MOLLY ANN KLINNER
Counselor (Professional)
4635 W COLLEGE AVE
APPLETON, WI 54914
Outagamie County (920) 750-7000
TATIANA MONTERROSAAGUILAR
Counselor (Professional)
4635 W COLLEGE AVE
APPLETON, WI 54914
Outagamie County (920) 750-7000
LAURA ANNE GOGGINS NP
Nurse Practitioner (Psychiatric/Mental Health)
4635 W COLLEGE AVE
APPLETON, WI 54914
Outagamie County (920) 750-7000
BAILEE RAMON
Social Worker
4635 W COLLEGE AVE
APPLETON, WI 54914
Outagamie County (920) 750-7000
KATHERINE MCMURRY
Social Worker (Clinical)
4635 W COLLEGE AVE
APPLETON, WI 54914
Outagamie County (920) 750-7000
MADELYN VANROSSUM
Counselor (Professional)
4635 W COLLEGE AVE
APPLETON, WI 54914
Outagamie County (920) 750-7000

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 Shayde Mack's NPI number?

The NPI number for Shayde Mack is 1730808452. It was assigned to this individual provider in the NPPES registry on August 25, 2022.

Where is Shayde Mack located?

Shayde Mack practices at 4635 W College Ave, Appleton, WI 54914. The listed phone number is (920) 750-7000.

What is Shayde Mack's specialty?

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

What insurance does Shayde Mack accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica and 3 other insurers list Shayde Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shayde Mack was last updated on March 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.