Individual provider Active NPI

Mackenzie Heinrich, LCSW

  • Social Worker
  • Utica, NY
National Provider Identifier
1801415310
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
096338 Issued in NY
Practice address
2316 Genesee St
Utica, NY 13502-5810
Phone
(607) 201-5269
NPI assigned
Apr 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 096338 NY Primary

Addresses

Primary practice location

2316 Genesee St
Utica, NY 13502-5810

Mailing address

179 Butcher Rd
Clayville, NY 13322-2545
Phone (607) 201-5269

Other practice location 1

44 Oxford Rd
New Hartford, NY 13413-2660
Phone (607) 201-5269

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
096338NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evolve Counseling, LCSW, PLLC Social Worker CurrentSince Apr 27, 2025 Accepting new patients
DRN Counseling-Consulting Services, LCSW, PLLC PastSince May 1, 2020 Accepting new patients

Locations

2316 Genesee St
Utica, NY 13502
Phone (315) 525-0684

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1801415310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 BUTCHER RD",
            "city": "CLAYVILLE",
            "state": "NY",
            "postal_code": "133222545",
            "telephone_number": "607-201-5269",
            "fax_number": "315-334-4267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2316 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025810",
            "telephone_number": "607-201-5269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Oxford Rd",
            "address_purpose": "LOCATION",
            "city": "New Hartford",
            "state": "NY",
            "postal_code": "134132660",
            "country_code": "US",
            "telephone_number": "607-201-5269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINRICH",
        "first_name": "MACKENZIE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-14",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "096338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.