| Doctor Name: | MS. CAROL BELLOMO MACK |
| NPI Number: | 1063412120 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW |
| License Number: | SC05973 |
| Business Practice Address: | Pcs, Inc. 1 Greystone Rd Carlisle, PA - 17013 |
| Business Phone Number: | 7172459255 |
| Business Fax Number: | 7172459198 |
| Mailing Address: | Pcs, Inc., 632 Cumberland St LEBANON |
| State: | PA |
| Postal Code: | 17042 |
| Phone Number: | 7172731710 |
| Fax Number: | 7172731416 |
| NPI Enumeration Date: | 07/29/2005 |
| NPI Last Update Date: | 05/16/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SC05973 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |