Mackenzie Blake Treadwell, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

C11413 Issued in MS

Practice address

197 Charmant PL Ste 2
Ridgeland, MS 39157-4352

Phone

(601) 707-5550

NPI assigned

Apr 19, 2021

Last updated

Jul 31, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Stillwaters Counseling Group, PLLC

  • Mental Health Counselor
  • Ridgeland, MS
  • NPI 1083330955
  NPD (past)

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

{
    "created_epoch": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1215518386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 CHARMANT PL STE 2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574352",
            "telephone_number": "601-707-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 CHARMANT PL STE 2",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574352",
            "telephone_number": "601-707-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREADWELL",
        "first_name": "MACKENZIE",
        "middle_name": "BLAKE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MS",
            "license": "C11413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mackenzie@stillwaterscounselors.com",
            "affiliation": "Y",
            "endpointDescription": "E-mail",
            "affiliationName": "Stillwaters Counseling Group, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "197 Charmant Pl Ste 2",
            "city": "Ridgeland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391574352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Towne Center Pharmacy LLC
• Alyssa M Townsend, PTA
• Traditions Hospice of Ridgeland, LLC (Traditions Health)
• Traditions Hospice of Ridgeland, LLC (Traditions Health)
• Michael T Tramel, D.D.S.
• Christina Treppendahl, FNP-BC
• Kristi Kay Trimm, D.O.
• Erin Niquane Triplett, COTA-L
• Bhavika Trivedi, M.D.
• Peyton Danielle Trotter, DNP, APRN, FNP-BC

• Social Worker in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Social Worker in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.