Mackenzie Lynn Williams, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

256414 Issued in KY

Practice address

180 Main Street
Calhoun, KY 42327

Phone

(270) 273-3050

Fax

(270) 273-3052

NPI assigned

Dec 13, 2021

Last updated

Jan 21, 2022By 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)

Enrolled

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

{
    "created_epoch": "1639353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1548929946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 654",
            "city": "CALHOUN",
            "state": "KY",
            "postal_code": "423270654",
            "telephone_number": "270-273-3050",
            "fax_number": "270-273-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MAIN STREET",
            "city": "CALHOUN",
            "state": "KY",
            "postal_code": "42327",
            "telephone_number": "270-273-3050",
            "fax_number": "270-273-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MACKENZIE",
        "middle_name": "LYNN",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-13",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "256414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Douglas Toler, M.S.
• Rhynhardt Van Wyk
• Walgreen Co (Walgreens #17444)
• Alicia Waltrip, MPT
• Hugh Hamilton Wilhite, MD

• Clinical Social Worker in Calhoun, KY
• Providers in Calhoun, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.