Taymiyyah Mack
Social Worker, Clinical in Pepper Pike, OH. Individual provider (NPI-1).
NPI number1699239798
StatusActive
Last updated in NPPESJan 23, 2019
Details
- NPI
- 1699239798
- Entity type
- Individual (NPI-1)
- Name
- Taymiyyah Mack
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2019
- Last updated
- Jan 23, 2019
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 |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | S.1802159 | OH | Yes |
Practice location
3737 Lander RdPepper Pike, OH 44124-5712
Phone 216-831-2255
Mailing address
3737 Lander RdPepper Pike, OH 44124-5712
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 99 Clinical Social Worker providers in Pepper Pike · All 408 providers in Pepper Pike
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