Healthcare Provider Details

I. General information

NPI: 1578489878
Provider Name (Legal Business Name): JESSICA DAWN MACK MSW, LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

299 COON RAPIDS BLVD NW STE 100
COON RAPIDS MN
55433-5869
US

IV. Provider business mailing address

299 COON RAPIDS BLVD NW STE 100
COON RAPIDS MN
55433-5869
US

V. Phone/Fax

Practice location:
  • Phone: 763-363-6219
  • Fax:
Mailing address:
  • Phone: 763-363-6219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number36287
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: