Mackenzie Ilene Minard

Primary specialty

Social WorkerTaxonomy code 104100000X

License

132030 Issued in CA

Practice address

198 Juana Ave
San Leandro, CA 94577-4808

Phone

(510) 822-2915

NPI assigned

Jan 8, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1538709548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30042 MISSION BLVD PO BOX #131",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945444592",
            "telephone_number": "909-800-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 JUANA AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774808",
            "telephone_number": "510-822-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINARD",
        "first_name": "MACKENZIE",
        "middle_name": "ILENE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "132030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesa Milts
• Lanita Lanette Mims
• Audrey Min
• Byoung Wook Min, L.AC.
• Yoojung Min, DDS
• Minati Desai Acharya, O.D., Optometric Corporation
• Minati Desai Acharya, O.D., Optometric Corporation
• Marika Minczeski, OTR/L
• Kevin German Minero, LMFT
• Sarah Minett

• Social Worker in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.