IndividualActive
Amanda Mack, LICSW
NPI 1912595752 · Clinical Social Worker · West Roxbury, MA
Provider details
- NPI number
- 1912595752
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- 224322 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1400 Vfw Pkwy
West Roxbury, MA 02132-4927
Phone: (617) 390-4585
Fax: (857) 203-6565
Street-level locationGet directions
Mailing address
865 Pleasant St
Bridgewater, MA 02324-2351
Registry dates
- Enumerated
- 2021-01-07
- Last updated
- 2023-03-10
- Certified
- 2023-03-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.