Mackenzie Ford, LISW
Individual provider Active NPI Clinical Social Worker · Vinton, IA
NPI 1093518052 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1093518052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 100913 (IA)
- Practice address
- 1206 C Ave
Vinton, IA 52349-1448 - Phone
- (319) 929-4835
- NPI assigned
- Mar 27, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lutheran Services in Iowa Inc
Practice addresses (Care Compare)
3125 Cottage Grove Ave
Des Moines, IA 50311-3809
Phone (515) 274-4946
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250512003235 | IA | Practitioner - Clinical Social Worker | 0840717922 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 100913 | IA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lutheran Services in Iowa, Inc. | Current |
Accepting new patients |
Locations
3125 Cottage Grove Ave
Des Moines, IA 50311
Phone (515) 274-4946
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 100913 | IA | Yes |
Addresses
Primary practice location
1206 C Ave
Vinton, IA 52349-1448
Mailing address
3640 University Ave
Waterloo, IA 50701-5622
Phone (319) 233-3579
Other practice location 1
3640 University Ave
Waterloo, IA 50701-5622
Phone (319) 233-3579
Other providers in Vinton, IA
- Brock Fischer
- Nicholas S Fisher
- Emily Ann Flexsenhar
- Alice Patricia Floyd
- Michael J Foggia II
- Peyton Frank
- Bethany Frerking
- Jessica Marie Fuessley
- Molly J Gardemann
- Robbie Gattman
All providers in Vinton, IA · Clinical Social Worker in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.