Active NPI
Mackenzie Edwards, LCSW
- Clinical Social Worker
- Irving, TX
National Provider Identifier
1053157297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 113378
- Practice address
- 6303 Commerce Dr Ste 175
Irving, TX 75063-2691 - Phone
- (214) 940-9089
- NPI assigned
- Jul 8, 2024
- Last updated
- Sep 3, 2026
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 113378 | TX | Primary |
Addresses
Primary practice location
6303 Commerce Dr Ste 175
Irving, TX 75063-2691
Mailing address
17727 Addison Rd Apt 543
Dallas, TX 75287-7074
Phone (801) 824-9263
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 |
|---|---|---|---|
| 113378 | TX | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas Therapeutic Services PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788393600000",
"number": "1053157297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17727 ADDISON RD APT 543",
"city": "DALLAS",
"state": "TX",
"postal_code": "752877074",
"telephone_number": "801-824-9263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6303 COMMERCE DR STE 175",
"city": "IRVING",
"state": "TX",
"postal_code": "750632691",
"telephone_number": "214-940-9089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "MACKENZIE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2026-09-03",
"certification_date": "2026-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "113378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
- Educare Community Living Limited Partnership
- Educare Community Living Limited Partnership
- Educare Community Living Limited Partnership
- Carla Edwards, BCBA
- Jacquelyn Renee Edwards, MS, BCBA, LBA
- William H Edwards, BCBA
- Eeg Monitoring, LLC
- Effective Therapy Community Support Services Limited Liability Company
- Lakshmi Egappan
- Colleen Eggert
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.