Active NPI
Mackenzie Taylor Fred, LMSW
- Social Worker
- New Paltz, NY
National Provider Identifier
1124706924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 83 S Chestnut St
New Paltz, NY 12561-2740 - Phone
- (845) 202-3138
- NPI assigned
- Jul 11, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| School Social Worker | 1041S0200X | 120218 | NY |
Addresses
Primary practice location
83 S Chestnut St
New Paltz, NY 12561-2740
Mailing address
83 S Chestnut St
New Paltz, NY 12561-2740
Phone (845) 202-3138
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 |
|---|---|---|---|
| 120218 | NY | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thompson Counseling Services LCSW, PLLC | 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 and National Provider Directory roles.
-
- Clinical Social Worker
- New Paltz, NY
- NPI 1821703778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1124706924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 S CHESTNUT ST",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125612740",
"telephone_number": "845-202-3138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 S CHESTNUT ST",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125612740",
"telephone_number": "845-202-3138"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRED",
"first_name": "MACKENZIE",
"middle_name": "TAYLOR",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-11",
"last_updated": "2025-07-17",
"certification_date": "2025-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "120218",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Paltz, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.