Elizabeth A Mackinnon, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R049295-1 Issued in NY

Practice address

290 Aldine St
Rochester, NY 14619-1235

Phone

(585) 428-0648

NPI assigned

Jan 14, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1104002807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 ALDINE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146191235",
            "telephone_number": "585-428-0648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 ALDINE ST",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146191235",
            "telephone_number": "585-428-0648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKINNON",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049295-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel J Mackenzie, M.D.
• Susan E Mackenzie, NP
• Michelle Paige Mackey, LPN
• Shannon Elizabeth Mackey, LMSW
• Carriann Mackin, ACNPC-AG
• Molly Maclachlan, MHC
• Kelly Maclaren, P. T.
• Robin Maclaughlin, PA-C
• Mary C Maclean, RPA-C
• Mary Zagari Kampf Macleod, PHD, LCSW-R.

• Clinical Social Worker in Rochester, NY
• Providers in Rochester, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.