Janice D. Mackenzie

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1395 Issued in NH

Practice address

633 Third Ave
Berlin, NH 03570-1658

Phone

(603) 752-1325

Fax

(603) 752-6174

NPI assigned

Nov 9, 2007

Last updated

Nov 9, 2007By 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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in NH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

NH Catholic Charities IncGroup PAC ID 5597674028, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• NH Catholic Charities Inc

  • Clinical Social Worker
  • Manchester, NH
  • NPI 1255417408
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1528248374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MYRTLE ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031044354",
            "telephone_number": "603-668-0014",
            "fax_number": "603-623-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 THIRD AVE",
            "city": "BERLIN",
            "state": "NH",
            "postal_code": "035701658",
            "telephone_number": "603-752-1325",
            "fax_number": "603-752-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "JANICE",
        "middle_name": "D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NH",
            "license": "1395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFICARE",
            "identifier": "IN PROCESS",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BHN/BC/BS",
            "identifier": "IN PROCESS",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH/COVENTRY",
            "identifier": "IN PROCESS",
            "state": "NH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "IN PROCESS",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Janine Loven, WAIVER
• Craig Lozier, PHARMD
• Todd Lukaszewski, RPH
• Barbara Ann Lutz, WAIVER
• Kayla M Macarthur
• Nicole Maher-Whiteside, APRN
• Margaret Q. Mallari, MD
• Corey Allen Martzall, AGNP-C
• Sheila M McKenzie
• Olivia McMahon

• Clinical Social Worker in Berlin, NH
• Providers in Berlin, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.