Maya McKenzie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

095783 Issued in NY

Practice address

508 W 169TH St # 3
New York, NY 10032-4002

Phone

(541) 778-1714

NPI assigned

May 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Maya McKenzie Zundel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1740928571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 W 169TH ST # 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324002",
            "telephone_number": "541-778-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 W 169TH ST # 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100324002",
            "telephone_number": "541-778-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "MAYA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107481",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAYA",
            "last_name": "ZUNDEL",
            "middle_name": "MCKENZIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara McKenzie-Vaccariello, M.S., L.AC.
• Barbara McKenzie
• Costner McKenzie, MD
• Kevin Michael McKenzie, RN
• Maxin Donald McKenzie
• Meghan E McKenzie, PH.D.
• Michael McKenzie, DDS
• Michelle McKenzie, LMSW
• Monique McKenzie
• Natasha McKenzie, DENTAL HYGIENIST

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.