Jasmyn Daquana Mack, is a
Social Worker - Clinical based in Albemarle, North Carolina. Jasmyn Daquana Mack is licensed to practice in North Carolina (license number P020859) and her current practice location is
105 Yadkin St Ste 102, Albemarle, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(980) 323-5330.
NPI number for Jasmyn Daquana Mack is 1316782345 and her current mailing address is 284 Executive Park Dr Ste 100, Concord, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316782345.
Healthcare Provider's Profile
Full Name | Jasmyn Daquana Mack |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 105 Yadkin St Ste 102, Albemarle, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1316782345
- Provider Enumeration Date: 07/01/2024
- Last Update Date: 10/02/2024
Medical Identifiers
Medical identifiers for Jasmyn Daquana Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316782345 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YS0200X | Counselor - School | P020859 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P020859 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jasmyn Daquana Mack is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jasmyn Daquana Mack, 284 Executive Park Dr Ste 100, Concord, NC 28025-1833 Ph: (704) 933-1173 | Jasmyn Daquana Mack, 105 Yadkin St Ste 102, Albemarle, NC 28001-3458 Ph: (980) 323-5330 |
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