Dana J Mackenzie
Individual provider Active NPI Social Worker · Mount Carroll, IL
NPI 1104447754 · NPPES record last updated May 5, 2020
Key facts
- NPI
- 1104447754
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 1126 Healthcare Dr
Mount Carroll, IL 61053-1469 - Phone
- (815) 244-4200
- NPI assigned
- May 5, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | IL | Yes |
Addresses
Primary practice location
1126 Healthcare Dr
Mount Carroll, IL 61053-1469
Mailing address
1126 Healthcare Dr
Mount Carroll, IL 61053-1469
Other providers in Mount Carroll, IL
- Margaret O Hutson
- Cody Hutton
- Michelle Leigh Jensen
- Cassandra Marie Jibben
- Holly M Koser
- Brittany Mackey
- Natalie Kay Marshall
- Paula Kay Maxwell
- Jody L McWhorter
- Jennifer Miller
All providers in Mount Carroll, IL · Social Worker in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.