Bianca Lynne Mackiewicz, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801109286 Issued in MI

Practice address

455 E Eisenhower Pkwy Ste 300
Ann Arbor, MI 48108-3324

Phone

(734) 606-9687

NPI assigned

Jan 24, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Root to Fruit Therapy & Wellness, LLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1356014914
  NPD
• Sollars and Associates

  • Psychologist
  • Sterling Heights, MI
  • NPI 1538482187
  NPD (past)

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1174087126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E EISENHOWER PKWY STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083324",
            "telephone_number": "734-606-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E EISENHOWER PKWY STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481083324",
            "telephone_number": "734-606-9687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3830 Packard St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481082273",
            "country_code": "US",
            "telephone_number": "734-224-2454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "496 W Ann Arbor Trl Ste 202",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481706262",
            "country_code": "US",
            "telephone_number": "734-414-1373",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1777 Axtell Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "MI",
            "postal_code": "480844400",
            "country_code": "US",
            "telephone_number": "248-613-5377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKIEWICZ",
        "first_name": "BIANCA",
        "middle_name": "LYNNE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-24",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob John Mackenzie, PA-C
• Kathleen Chamisa Mackenzie, MSW
• Ryan Michael Mackenzie, NP
• Wilma Anne Mackenzie, AGACNP-BC
• Regina Mackiewicz Dailey, D.M.D
• Laura Lynne Mackimmie
• Allyson Mackinnon, APRN
• Emily Mackler, PHARM.D.
• Nancy Anne Maclaren, RN
• Sarah Ann Maclean, MBCHB

• Clinical Social Worker in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.