Makenzie Elizabeth Walters, LCSW
Individual provider Active NPI Clinical Social Worker · Capistrano Beach, CA
NPI 1336021088 · NPPES record last updated Jul 23, 2025
Key facts
- NPI
- 1336021088
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 130308 (CA)
- Practice address
- 34421 Via Espinoza Apt B
Capistrano Beach, CA 92624-2323 - Phone
- (410) 920-4322
- NPI assigned
- Jul 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130308 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 130308 | CA | Yes |
Addresses
Primary practice location
34421 Via Espinoza Apt B
Capistrano Beach, CA 92624-2323
Mailing address
34421 Via Espinoza Apt B
Capistrano Beach, CA 92624-2323
Other providers in Capistrano Beach, CA
- Jane Cathleen Swanson
- Vicki C Sweet
- Jenna Louise Teague
- TML Recovery, LLC
- Letissa Valentine-Celindro
- Ebony Monique Ward
- Erica Jennifer Wesley
All providers in Capistrano Beach, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.