Eileen Marie Mackenzie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149-008114 Issued in IL

Practice address

317 S Albert St
Mount Prospect, IL 60056-3407

Phone

(224) 345-9950

NPI assigned

Jan 18, 2022

Last updated

Jan 18, 2022By the provider in NPPES

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 IL

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, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northwest Behavioral Health Services PCGroup PAC ID 7113964511, 6 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northwest Behavioral Health Services, PC

  • Clinical Psychologist
  • Arlington Heights, IL
  • NPI 1770609315

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1642464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642464000000",
    "number": "1164173472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S ALBERT ST",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563407",
            "telephone_number": "224-345-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 S ALBERT ST",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563407",
            "telephone_number": "224-345-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "EILEEN",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149-008114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ian Lutz, M.A.
• Lux Dental
• LV Dentistry, PC (Mount Prospect Dental Care)
• Ashley Machanickal
• Darek Gregory Maciasz, R.PH
• Aneta Magdalena Maczuga, PA-C
• Martina Hernandez Madrid, PSY. D.
• Joshua Sean Magariel, LCSW
• Christian Joseph Maggio
• Holly L Magnani, MS CCC-SLP

• Clinical Social Worker in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.