Individual provider Active NPI

McKenzie Haenke, LCSW

  • Clinical Social Worker
  • Beaverton, OR
National Provider Identifier
1023691706
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
L17309 Issued in OR
Practice address
6700 SW 105TH Ave Ste 215
Beaverton, OR 97008-8824
Phone
(503) 461-3910
NPI assigned
Apr 30, 2021
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L17309 OR Primary

Addresses

Primary practice location

6700 SW 105TH Ave Ste 215
Beaverton, OR 97008-8824

Mailing address

6700 SW 105TH Ave Ste 215
Beaverton, OR 97008-8824
Phone (503) 461-3910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
L17309ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Firefly Institute CurrentSince May 16, 2021 Accepting new patients
Positive Inner Self, LLC Mental Health CurrentSince Nov 24, 2025 Accepting new patients

Locations

6700 SW 105th Ave
Ste 215
Beaverton, OR 97008
Phone (503) 461-3910

4950 NE Belknap Ct
Ste 205
Hillsboro, OR 97124
Phone (503) 560-5822

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1023691706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 SW 105TH AVE STE 215",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970088824",
            "telephone_number": "503-461-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 SW 105TH AVE STE 215",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970088824",
            "telephone_number": "503-461-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAENKE",
        "first_name": "MCKENZIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-30",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L17309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.