Active NPI
Lawanna Mackie, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1629491337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 091985
- Practice address
- 915 Washington Ave.
Apt. 1B
Brooklyn, NY 11225 - Phone
- (347) 263-0859
- NPI assigned
- Jan 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 091985 | NY | Primary |
Addresses
Primary practice location
915 Washington Ave.
Apt. 1B
Brooklyn, NY 11225
Mailing address
15 E 88TH St Apt 1F
Brooklyn, NY 11236-1038
Phone (347) 263-0859
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 091985 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631491200000",
"number": "1629491337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 E 88TH ST APT 1F",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112361038",
"telephone_number": "347-263-0859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 WASHINGTON AVE.",
"address_2": "APT. 1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11225",
"telephone_number": "347-263-0859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKIE",
"first_name": "LAWANNA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-31",
"last_updated": "2021-09-13",
"certification_date": "2021-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "091985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.