Milicent Ann Mack, LMSW
Social Worker in Triangle, VA. Individual provider (NPI-1).
NPI number1316628829
StatusActive
Last updated in NPPESJul 27, 2023
Details
- NPI
- 1316628829
- Entity type
- Individual (NPI-1)
- Name
- Milicent Ann Mack
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2023
- Certification date
- Jul 27, 2023
- Last updated
- Jul 27, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 0903003824 | VA | Yes |
| 1041C0700X | Social Worker, Clinical | 0906013351 | VA |
Practice location
5009 Potomac Highlands CirTriangle, VA 22172-1780
Phone 908-662-4844
Mailing address
5009 Potomac Highlands CirTriangle, VA 22172-1780
Phone 908-662-4844
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