Mackenzie Coen, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150102050 Issued in IL

Practice address

G3169 Beecher Rd Ste 203
Flint, MI 48532-3645

Phone

(810) 237-0799

NPI assigned

Oct 11, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1366992547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073877",
            "telephone_number": "815-387-5600",
            "fax_number": "815-316-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G3169 BEECHER RD STE 203",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323645",
            "telephone_number": "810-237-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 N Mulford Rd",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611073877",
            "country_code": "US",
            "telephone_number": "815-387-5600",
            "fax_number": "815-316-4726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COEN",
        "first_name": "MACKENZIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-11",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150102050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyra Lynell Coburn
• Cristina Cocadiz
• Asia S Cockhern, MA,LLPC
• Margaret N Coe, PA-C
• June Dolores Coen-Hewitt, RN
• Pamela Y Coffer
• Sydney Coffman, CPNP-PC
• Tabitha Rae Cogburn
• Michaela Sue Cogo, DDS
• Alex Jairus Cohen

• Social Worker in Flint, MI
• Providers in Flint, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.