Mackenzie Marie Granger, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

30 Griffin Rd
Manchester, CT 06042-1950

Phone

(860) 281-3893

NPI assigned

Aug 20, 2025

Last updated

Aug 5, 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

Enrolled in CT

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, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mellahealth LLC

  • Community/Behavioral Health Agency
  • West Hartford, CT
  • NPI 1477158046

  Clinical

  Medicare reassignment NPD
• Through the Rain Counseling PLLC

  • Clinical Social Worker
  • Tolland, CT
  • NPI 1851259667
  NPD Authorized official
• Ruby Psychiatric Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Hartford, CT
  • NPI 1295564425
  NPD (past)

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

{
    "created_epoch": "1755648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1568349306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BUFF CAP RD APT E2",
            "city": "TOLLAND",
            "state": "CT",
            "postal_code": "060842649",
            "telephone_number": "860-281-3893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GRIFFIN RD",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060421950",
            "telephone_number": "860-281-3893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "MACKENZIE",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-20",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Howard Steven Grad, OD
• Ian Graf, DO
• Erin Marie Graffam, LPC
• Jarvis D Graham
• Steven Graham
• Christine Marie Grant, MA
• Jessica Grant
• Shane Owen Grant
• Roberta M Grasso, LMFT
• Maria Gratton

• Clinical Social Worker in Manchester, CT
• Providers in Manchester, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.