Adam Ross Mackay, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

328947-3501 Issued in UT

Practice address

447 N 300 W Ste 7
Kaysville, UT 84037-4203

Phone

(801) 414-5894

Fax

(801) 451-5073

NPI assigned

Mar 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mackay Counseling

  • Clinical Social Worker
  • Farmington, UT
  • NPI 1114434412
  NPD (past) Authorized official
• Brookshire Inc

  • Foster Care Agency
  • Ogden, UT
  • NPI 1740586874
  NPD (past)

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1457626723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 RIGBY RD",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840254404",
            "telephone_number": "801-414-5894",
            "fax_number": "801-451-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N 300 W STE 7",
            "city": "KAYSVILLE",
            "state": "UT",
            "postal_code": "840374203",
            "telephone_number": "801-414-5894",
            "fax_number": "801-451-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "ADAM",
        "middle_name": "ROSS",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "328947-3501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR NUMBER WITH UTAH STATE OFFICE OF REHABILITATION",
            "identifier": "VC0000164309",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danielle Loveland
• Matthew Loveland, LCSW
• Luxe Vision Utah LLC
• Joseph Lyman
• Mackay Counseling, LCSW, PLLC
• Aubrey Madsen, DC
• Kylie Rae Madsen, AUD
• Reagan Madsen
• Dee Milton Marble, SUDC
• Juan Antonio Martinez, Certified Case Manager, ABH CASE MANAGER

• Clinical Social Worker in Kaysville, UT
• Providers in Kaysville, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.