Mackinzie Justine Collins, MSW
Individual provider Active NPI Clinical Social Worker · Verona, WI
NPI 1679408124 · NPPES record last updated Jun 16, 2026
Key facts
- NPI
- 1679408124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 136192-121 (WI)
- Practice address
- 210 Overview Cir
Verona, WI 53593-8339 - Phone
- (608) 206-7556
- NPI assigned
- Jun 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 136192-121 | WI | Yes |
Addresses
Primary practice location
210 Overview Cir
Verona, WI 53593-8339
Mailing address
210 Overview Cir
Verona, WI 53593-8339
Other providers in Verona, WI
- Cindy J Bahlman DDS LLC
- Jonalyn Ciochetto
- Logan Clarahan
- Megan Clark
- Sarah Clemons-Wagner
- Communication Innovations, Inc
- Rikki Conwell
- Janice Cooney
- Alicia Anne Cooper
- Samantha N Cordum
All providers in Verona, WI · Clinical Social Worker in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.