Mackenzie Vivian McCowen, LLBSW

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

6852093336 Issued in MI

Practice address

5340 Holiday Ter Ste 9
Kalamazoo, MI 49009-2196

Phone

(269) 381-4446

Fax

(269) 381-4457

NPI assigned

May 31, 2022

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1457090367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 CHARLIE CT APT 3D",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490027926",
            "telephone_number": "269-501-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5340 HOLIDAY TER STE 9",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092196",
            "telephone_number": "269-381-4446",
            "fax_number": "269-381-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOWEN",
        "first_name": "MACKENZIE",
        "middle_name": "VIVIAN",
        "name_prefix": "Miss",
        "credential": "LLBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MI",
            "license": "6852093336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine McCollum, MD
• Sarah A McCollum, M.S. CCC-SLP
• Tracy McConnell
• Mark S McCormick, M.D.
• Patrick McCormick, RN, MSN, FNP-C
• Jessica Jean McCoy, MD
• Timothy Paul McCoy, CRNA
• Kayleigh McCraner
• Megan York McCrary, MSW, LCSWA
• Louis McCroskey

• Case Manager/Care Coordinator in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Case Manager/Care Coordinator in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.