Individual provider Active NPI

Mackenzie Behof, LISW

  • Clinical Social Worker
  • Cedar Rapids, IA
National Provider Identifier
1578031951
Registry record updated Dec 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
094005 Issued in IA
Practice address
4325 Williams Blvd SW
Cedar Rapids, IA 52404-3436
Phone
(319) 368-8400
NPI assigned
Nov 5, 2018
Last updated
Dec 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 094005 IA Primary

Addresses

Primary practice location

4325 Williams Blvd SW
Cedar Rapids, IA 52404-3436

Mailing address

965 S 15TH St
Marion, IA 52302-5004
Phone (773) 807-0875

Other practice location 1

2375 Edgewood Rd SW
Cedar Rapids, IA 52404-4736
Phone (319) 739-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
MB Therapy, PLLC CurrentSince Jan 1, 2023 Accepting new patients

Locations

2750 1st Ave NE
Ste 125D
Cedar Rapids, IA 52402
Phone (319) 214-3450

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1578031951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 S 15TH ST",
            "city": "MARION",
            "state": "IA",
            "postal_code": "523025004",
            "telephone_number": "773-807-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 WILLIAMS BLVD SW",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524043436",
            "telephone_number": "319-368-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2375 Edgewood Rd SW",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524044736",
            "country_code": "US",
            "telephone_number": "319-739-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEHOF",
        "first_name": "MACKENZIE",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IA",
            "license": "094005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; 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.