Amy L Mack, LICSW is a
Social Worker - Clinical based in Cicero, New York. Amy L Mack is licensed to practice in New York (license number 090752) and her current practice location is
5708 S Bay Rd, Cicero, New York. She can be reached at her office (for appointments etc.) via phone at
(315) 897-5699.
NPI number for Amy L Mack is 1104241066 and her current mailing address is 5708 S Bay Rd, Cicero, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104241066.
Healthcare Provider's Profile
| Full Name | Amy L Mack |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5708 S Bay Rd, Cicero, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104241066
- Provider Enumeration Date: 02/28/2014
- Last Update Date: 03/04/2026
Medical Identifiers
Medical identifiers for Amy L Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104241066 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 090752 (New York) | Primary |
| 1041C0700X | Social Worker - Clinical | 1843 (New Hampshire) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy L Mack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amy L Mack, LICSW
5708 S Bay Rd,
Cicero, NY 13039-8652
Ph: (315) 897-5699 | Amy L Mack, LICSW
5708 S Bay Rd,
Cicero, NY 13039-8652
Ph: (315) 897-5699 |
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