Mackenzi T. Davis, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

7201-C Issued in AR

Practice address

2400 Crestwood Rd Ste 201
North Little Rock, AR 72116-7663

Phone

(501) 409-6653

NPI assigned

Feb 5, 2010

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Holding Space Counseling, LLC

  • Clinical Social Worker
  • North Little Rock, AR
  • NPI 1659013290
  NPD Authorized official
• Centers for Youth and Families

  • Community/Behavioral Health Agency
  • Little Rock, AR
  • NPI 1679751945
  NPD (past)
• Central Arkansas Group Counseling, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bentonville, AR
  • NPI 1356867303
  NPD (past)

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651276800000",
    "number": "1659603397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 CRESTWOOD RD STE 201",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167663",
            "telephone_number": "501-409-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 CRESTWOOD RD STE 201",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167663",
            "telephone_number": "501-409-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MACKENZI",
        "middle_name": "T.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2022-04-30",
        "certification_date": "2022-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "7201-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hope Elise Davis
• Janell Davis, MSN, FNP-C
• Khayyam Amir Davis
• Kieran Davis
• Kirsten Davis, LAC
• Monzelle Obrian Davis, ACNPC-AG
• Morgan Davis
• Nancy Kang Davis, MD
• Shannon Marquita Davis, RN
• Tessa Monique Davis, MS, OTR/L

• Clinical Social Worker in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.