Kelly McKenzie

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11711-M Issued in NV

Practice address

12 W Mesquite Blvd Ste 113
Mesquite, NV 89027-4774

Phone

(725) 705-6408

NPI assigned

Jun 12, 2026

Last updated

Jun 12, 2026By the provider in NPPES

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

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

{
    "created_epoch": "1781222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1477487403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 W MESQUITE BLVD STE 113",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 W MESQUITE BLVD STE 113",
            "city": "MESQUITE",
            "state": "NV",
            "postal_code": "890274774",
            "telephone_number": "725-705-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-12",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11711-M",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Del Martinez
• Duane May, PT
• Deja Yarrl McAllister
• Aaron William McCook, PA-C
• Kristin Rae McCoy
• Marcella Aremea Medlin
• Rita Maria Mejia-Braeckevelt, DO
• Kimberly Anne Melle
• Kyle D. Memmott, MPT
• Jeromy Ron Mendenhall, PA

• Clinical Social Worker in Mesquite, NV
• Providers in Mesquite, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.