Ebony Mac, LCSW
NPI 1063747772 · Clinical Social Worker · Saint Louis, MO
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ebony Mac, LCSW is a Clinical Social Worker provider in Saint Louis, MO (NPI 1063747772).
Provider details
- NPI number
- 1063747772
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 2009008986 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-10-14
- Last updated
- 2026-03-13
- Certified
- 2026-03-13
Frequently asked questions
- What is Ebony Mac's NPI number?
- Ebony Mac's National Provider Identifier (NPI) is 1063747772, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ebony Mac's specialty?
- Ebony Mac is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Ebony Mac located?
- Ebony Mac's practice location on file with NPPES is 401 Pine St, Saint Louis, MO 63102-2731.
- What is Ebony Mac's phone number?
- The practice phone number listed in the NPPES registry for Ebony Mac is (314) 465-5351.
- Does Ebony Mac accept Medicare?
- Ebony Mac is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ebony Mac's NPI active?
- Yes — Ebony Mac's NPI (1063747772) is active in the NPPES registry as of the last update on 2026-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.