Jamie Mack, LICSW
NPI 1104663525 · Clinical Social Worker · Mankato, MN
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jamie Mack, LICSW is a Clinical Social Worker provider in Mankato, MN (NPI 1104663525).
Provider details
- NPI number
- 1104663525
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 23072 (MN)
Specialties & taxonomies
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
1 yr 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
- 2024-07-12
- Last updated
- 2024-07-12
- Certified
- 2024-07-12
Frequently asked questions
- What is Jamie Mack's NPI number?
- Jamie Mack's National Provider Identifier (NPI) is 1104663525, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jamie Mack's specialty?
- Jamie Mack is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Jamie Mack located?
- Jamie Mack's practice location on file with NPPES is 1600 Madison Ave Ste 110, Mankato, MN 56001-5820.
- What is Jamie Mack's phone number?
- The practice phone number listed in the NPPES registry for Jamie Mack is (651) 346-3266.
- Does Jamie Mack accept Medicare?
- Jamie Mack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jamie Mack's NPI active?
- Yes — Jamie Mack's NPI (1104663525) is active in the NPPES registry as of the last update on 2024-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.