Karyn A Mackenzie Fajardo, LCSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-16710 Issued in AZ

Practice address

8715 W Union Hills Dr Ste 111
Peoria, AZ 85382-3031

Phone

(425) 233-1732

Fax

(623) 248-7737

NPI assigned

Mar 17, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Karyn Anne Mackenzie Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Heart Song Wellness LLC

  • Adult Mental Health Clinic/Center
  • Peoria, AZ
  • NPI 1073171153
  Medicare reassignment NPD Authorized official
• Sonoran Life Solutions, Inc.

  • Professional Counselor
  • Peoria, AZ
  • NPI 1912155367
  Medicare reassignment NPD

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1154445062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8715 W UNION HILLS DR",
            "address_2": "STE 111",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823031",
            "telephone_number": "425-233-1732",
            "fax_number": "623-248-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8715 W UNION HILLS DR STE 111",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823031",
            "telephone_number": "425-233-1732",
            "fax_number": "623-248-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE FAJARDO",
        "first_name": "KARYN",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LCSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-17",
        "last_updated": "2026-02-12",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-26440",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA-00020322",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-16710",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW60294108",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-012200",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARYN",
            "last_name": "MACKENZIE",
            "middle_name": "ANNE",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cam Linh Ma
• Nicole Lorraine Maccleary Price, D.O.
• Darcy Machado, LCSW
• Emily Mack-Maulupe
• Shawna Mack-Morris, LAC
• Brandon J Mackey, D.O.
• Christopher G Mackey, DO
• Vernon Thomas Mackey, D.O.
• Bradly Andrew Macneil, PHD
• Joan Mactough, P.T.

• Clinical Social Worker in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Clinical Social Worker in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.