JESSICA NICOLE MACK MSW
NPI 1821386426
Social Worker - Clinical in San Diego, CA

Q: What is Jessica Mack's NPI number?

The NPI number for Jessica Mack is 1821386426. It was assigned to this individual provider in the NPPES registry on July 16, 2011.

Q: What is Jessica Mack's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Mack was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 16, 2011

3760 CONVOY ST STE 220, SAN DIEGO, CA 92111(858) 212-1092 Get Directions Write a Review

NPPES record last updated: September 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jessica Nicole Mack Msw NPPES

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

JESSICA NICOLE MACK MSW (NPI 1821386426) is an individual clinical provider in San Diego, California, licensed in California (130034) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1821386426

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameJESSICA NICOLE MACKCredential: MSW

Location Address3760 CONVOY ST STE 220San Diego, CA 92111-3744

Mailing Address3760 Convoy St Ste 220San Diego, CA 92111-3744 · (858) 212-1092

Phone(858) 212-1092

Sole ProprietorNo

Enumeration DateJuly 16, 2011

Last NPPES UpdateSeptember 5, 2025

NPPES CertifiedSeptember 5, 2025

✔ NPI 1821386426 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 CA · 130034

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.

3760 CONVOY ST STE 220, San Diego, CA 92111

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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 Jessica Mack's NPI number?

The NPI number for Jessica Mack is 1821386426. It was assigned to this individual provider in the NPPES registry on July 16, 2011.

Where is Jessica Mack located?

Jessica Mack practices at 3760 Convoy St Ste 220, San Diego, CA 92111. The listed phone number is (858) 212-1092.

What is Jessica 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 Jessica Mack was last updated on September 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.