Active NPI
Mackenzie Dodge, APSW
- Social Worker
- Kenosha, WI
National Provider Identifier
1033718440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 132108
- Practice address
- 2108 63Rd St
Kenosha, WI 53143-4454 - Phone
- (262) 652-2406
- NPI assigned
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 132108 | WI | Primary |
Addresses
Primary practice location
2108 63Rd St
Kenosha, WI 53143-4454
Mailing address
2108 63Rd St
Kenosha, WI 53143-4454
Phone (262) 652-2406
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
| License | State | Type | Specialty |
|---|---|---|---|
| 132108 | WI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1033718440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 63RD ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531434454",
"telephone_number": "262-652-2406"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 63RD ST",
"city": "KENOSHA",
"state": "WI",
"postal_code": "531434454",
"telephone_number": "262-652-2406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODGE",
"first_name": "MACKENZIE",
"credential": "APSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-19",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WI",
"license": "132108",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenosha, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.