Tiffany Danielle Mack, LSW
NPI 1205587292ActiveIndividual· Social Worker, Clinical· Lyons, NJ
Social Worker, Clinical (LSW) in Lyons, New Jersey, licensed in NJ, with an NPI issued in January 2022. Enrolled in Medicare as practitioner - clinical social worker and practitioner - clinical social worker.
Overview
| NPI | 1205587292 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LSW |
| Sole proprietor | Yes |
| NPI issued | Jan 12, 2022 |
| Last updated in NPPES | Sep 9, 2024 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 44SC06232300 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (DC); Practitioner - Clinical Social Worker (FL); Practitioner - Clinical Social Worker (NJ); Practitioner - Clinical Social Worker (PA) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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All 47 clinical social workers in Lyons · All clinical social workers in New Jersey