Individual provider Active NPI

Jonathan Charles Mackey, LCSW

  • Clinical Social Worker
  • Mesa, AZ
National Provider Identifier
1770867608
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-13884 Issued in AZ
Practice address
1930 S Alma School Rd Ste A206
Mesa, AZ 85210-3066
Phone
(480) 779-9050
Fax
(480) 717-4025
NPI assigned
Oct 11, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW-13884 AZ Primary

Addresses

Primary practice location

1930 S Alma School Rd Ste A206
Mesa, AZ 85210-3066

Mailing address

1930 S Alma School Rd Ste A206
Mesa, AZ 85210-3066
Phone (480) 779-9050

Other identifiers 1

IdentifierTypeStateIssuer
854855MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131127000700 AZ Practitioner - Clinical Social Worker 3577799360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brain Solutions PLLCGroup PAC ID 7214163005, 3 clinicians

Practice addresses (Care Compare)

1930 S Alma School Rd
Suite A206
Mesa, AZ 85210-3066
Phone (480) 779-9050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-13884AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Solutions PLLC Current Accepting new patients
Brain Solutions PLLC Clinical CurrentSince Jul 31, 2013 Accepting new patients

Locations

1835 W Chandler Blvd
Ste 100
Chandler, AZ 85224
Phone (480) 269-1733

1930 S Alma School Rd
Ste A206
Mesa, AZ 85210
Phone (480) 779-9050

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1770867608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE A206",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103066",
            "telephone_number": "480-779-9050",
            "fax_number": "480-717-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD STE A206",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103066",
            "telephone_number": "480-779-9050",
            "fax_number": "480-717-4025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "JONATHAN",
        "middle_name": "CHARLES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-11",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "LCSW-13884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "854855",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.