Individual provider Active NPI

Mackenzie Megan Thomas, MSW, LCSWA

  • Clinical Social Worker
  • Holly Springs, NC
National Provider Identifier
1710256797
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P014251 Issued in NC
Practice address
4521 Briarglen LN
Holly Springs, NC 27540-9264
Phone
(910) 309-5277
NPI assigned
Dec 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P014251 NC Primary
Developmental Therapist 222Q00000X

Addresses

Primary practice location

4521 Briarglen LN
Holly Springs, NC 27540-9264

Mailing address

4521 Briarglen LN
Holly Springs, NC 27540-9264
Phone (910) 309-5277

Other practice location 1

4521 Briarglen Ln
Holly Springs, NC 27540-9264
Phone (910) 309-5277

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
P014251NCMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1710256797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 BRIARGLEN LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409264",
            "telephone_number": "910-309-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 BRIARGLEN LN",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275409264",
            "telephone_number": "910-309-5277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4521 Briarglen Ln",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275409264",
            "country_code": "US",
            "telephone_number": "910-309-5277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "MACKENZIE",
        "middle_name": "MEGAN",
        "credential": "MSW, LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P014251",
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.