Individual provider Active NPI

Makenzie Lee Gallego, MSW

  • Clinical Social Worker
  • Mountain View, CA
National Provider Identifier
1093147381
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW91987 Issued in CA
Practice address
1299 Bryant Ave
Mountain View, CA 94040-4527
Phone
(650) 960-8485
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X 91987 CA
Clinical Social Worker 1041C0700X LCSW91987 CA Primary

Addresses

Primary practice location

1299 Bryant Ave
Mountain View, CA 94040-4527

Mailing address

201 Almond Ave
Los Altos, CA 94022-2206
Phone (650) 960-8485

Other practice location 1

1309 S Mary Ave
Sunnyvale, CA 94087-3050
Phone (408) 252-3000 ext. 61253

Other practice location 2

1600 W Campbell Ave
Suite 201
Campbell, CA 95008-1526
Phone (408) 871-4919

Other names 1

  • Makenzie Lee Brown-Harris Former name

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
LCSW91987CAMDClinical Social Worker
91987CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Odd-Fellow Rebekah Children'S Home of California PastSince Feb 1, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1093147381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 ALMOND AVE",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940222206",
            "telephone_number": "650-960-8485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1299 BRYANT AVE",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404527",
            "telephone_number": "650-960-8485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1309 S Mary Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyvale",
            "state": "CA",
            "postal_code": "940873050",
            "country_code": "US",
            "telephone_number": "408-252-3000 x61253",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 W Campbell Ave",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950081526",
            "country_code": "US",
            "telephone_number": "408-871-4919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLEGO",
        "first_name": "MAKENZIE",
        "middle_name": "LEE",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "91987",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW91987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAKENZIE",
            "last_name": "BROWN-HARRIS",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.