Mackenzie Paige Faluski

Primary specialty

Social WorkerTaxonomy code 104100000X

License

2411469 Issued in OH

Practice address

424 W Bagley Rd
Berea, OH 44017-1352

Phone

(216) 340-0011

NPI assigned

Aug 23, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1724371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1285467381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MAIN ST",
            "city": "SPENCER",
            "state": "OH",
            "postal_code": "442759747",
            "telephone_number": "815-503-9017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 W BAGLEY RD",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "440171352",
            "telephone_number": "216-340-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALUSKI",
        "first_name": "MACKENZIE",
        "middle_name": "PAIGE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-23",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "2411469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon Glen Engle, OD
• Marta A Engle, LPCC
• Mercy Ermakov
• Vincent Evanoff, PA-C
• Jacklyn Ann Fairchild, P.C., N.C.C
• Annmarie Fani
• Spencer Farrar, DPT
• Ladislav Fedorko, MD
• Melanie Fenske, RN
• Diane Ferry

• Social Worker in Berea, OH
• Providers in Berea, OH by specialty
• Social Worker in Ohio

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