Leslie Pate Mackinnon, LESLIE MACKINNON

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

000817 Issued in GA

Practice address

1836 Walthall Dr NW
Atlanta, GA 30318-2647

Phone

(404) 603-5335

NPI assigned

Jul 31, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Leslie Pate Mackinnon Professional name

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": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417564800000",
    "number": "1457783466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 WALTHALL DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182647",
            "telephone_number": "404-355-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 WALTHALL DR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182647",
            "telephone_number": "404-603-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKINNON",
        "first_name": "LESLIE",
        "middle_name": "PATE",
        "name_prefix": "Mrs.",
        "credential": "LESLIE MACKINNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-31",
        "last_updated": "2014-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "000817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "MACKINNON",
            "middle_name": "PATE",
            "prefix": "MRS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kimberly Alison Mackey, PA-C
• Patricia Mackey, PA
• Tandy E Mackey, MFT, ST
• Bianca Patterson Mackfield
• Taylor E Mackin, LMSW
• Neil Corral Maclang
• Deborah Robinson Maclean, A.T.,C.
• Jonathan Maclean, M.D.
• Jana M Macleod, MD
• Matthew Macleod, DPT

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; 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.