Amber Candice Mackenzie, LCAQ

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18688 Issued in FL

Practice address

7552 Navarre Pkwy
Navarre, FL 32566-7305

Phone

(580) 747-8283

NPI assigned

Jul 6, 2021

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

Other names 1

• Amber Candice Tuey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 1, 2024 through Apr 1, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1770154296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 JOSEPH CIR",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325638101",
            "telephone_number": "580-747-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7552 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325667305",
            "telephone_number": "580-747-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKENZIE",
        "first_name": "AMBER",
        "middle_name": "CANDICE",
        "credential": "LCAQ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBER",
            "last_name": "TUEY",
            "middle_name": "CANDICE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hannah Lombard
• Lee Londo, LMHC
• Patricia Augusta Long, M.S.ED, ATC, CSCS
• Harold E Love, LMHC, PH.D.
• Latoya Loveless-Knox, CERTIFIED HAIR LOSS
• Maika Healthcare, LLC
• Meghan Majeski, PT, DPT
• Stephenie Ann Malan, LMHC
• Samantha Mann
• Nathalie Manners

• Clinical Social Worker in Navarre, FL
• Providers in Navarre, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.