Individual provider Active NPI

Mackenzi Anne-Welsh Vazquez

  • Clinical Social Worker
  • Grand Rapids, MI
National Provider Identifier
1306770912
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851119545 Issued in MI
Practice address
4829 E Beltline Ave NE Ste 303
Grand Rapids, MI 49525-9350
Phone
(616) 217-8612
Fax
(616) 466-7953
NPI assigned
Jun 9, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851119545 MI Primary

Addresses

Primary practice location

4829 E Beltline Ave NE Ste 303
Grand Rapids, MI 49525-9350

Mailing address

4829 E Beltline Ave NE Ste 303
Grand Rapids, MI 49525-9350
Phone (616) 217-8612

Other names 1

  • Miss Mackenzi Anne Welsh Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1780963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1306770912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE STE 303",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259350",
            "telephone_number": "616-217-8612",
            "fax_number": "616-466-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4829 E BELTLINE AVE NE STE 303",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495259350",
            "telephone_number": "616-217-8612",
            "fax_number": "616-466-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ",
        "first_name": "MACKENZI",
        "middle_name": "ANNE-WELSH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-09",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851119545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZI",
            "last_name": "WELSH",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.