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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MAXINE MACK

Active Sole Proprietor

MAXINE MACK is a Clinical Social Worker healthcare provider located in PANORAMA CITY, California. NPI 1457801151 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · PANORAMA CITY, CA

Registration Details

NPI Number
1457801151
Provider Type
Individual
Gender
Female
NPI Issued
Oct 6, 2016 (9.83811486696 yrs)
Last Updated
Feb 12, 2025
License
122455 (CA)
Sole Proprietor
Yes

Practice Information

Address
8215 VAN NUYS BLVD
PANORAMA CITY, CA, 914024810
Browse CA providers · Browse ZIP 91402
Phone
8188552270
Primary Specialty
Clinical Social Worker
1041C0700X
Additional Specialty
Clinical Social Worker

Other Clinical Social Worker Providers in PANORAMA CITY, CA

Name Credential NPI
MARK G MALKOWSKI MFT 1740484880
MARYSABEL SANCHEZ-MOORE LCSW 1477757516
MARY E DONOVAN MFT 1255535308
MONICA L GARCIA MFT 1790989846
MARGIE A ROJAS LCSW 1609070754
DANEALIA MARETKA MFT 1518161660
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.