Chamisa Mackenzie, LMSW, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

CHAMISA MACKENZIE, LMSW, LLC

Practice address

202 E Washington St Ste 401
Ann Arbor, MI 48104-2017

Phone

(734) 649-4114

NPI assigned

Jan 26, 2018

Organization subpart

No

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

Authorized official

Name

Kathleen Chamisa Mackenzie, LMSWNPI 1831638659

Title

Owner

Phone

(734) 649-4114

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Chamisa Mackenzie, MSW

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1831638659

  Adult Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1720586597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 HELEN ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481032478",
            "telephone_number": "734-649-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E WASHINGTON ST STE 401",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042017",
            "telephone_number": "734-649-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMISA MACKENZIE, LMSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-26",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "MACKENZIE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "CHAMISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "734-649-4114",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Priscilla Rae Chamberlain, M.D.
• Jonathan C Chambers, MD
• Rebecca S Chambers, NP
• Tinette Chambers, OTR, CDRS
• Mark Christopher Chames, MD
• Mohammed Chammout
• William Chamness, M.D.
• Donna Jean Champine, MD
• Jillian Mouranie Champine, CRNA
• Grace Kathleen Champion, MD

• Adult Mental Health Clinic/Center in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Adult Mental Health Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.