Martha Vecker McKenzie, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004237 Issued in GA

Practice address

175 Gwinnett Dr
Lawrenceville, GA 30046-8444

Phone

(678) 209-2394

NPI assigned

Aug 6, 2013

Last updated

Dec 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: marthamckenzie@tdh.allscriptsdirect.net

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

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Clinical

  NPD

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1811329436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 TREE MOUNTAIN PKWY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300836711",
            "telephone_number": "706-994-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 GWINNETT DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468444",
            "telephone_number": "678-209-2394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "772 Maddox Dr",
            "address_2": "SUITE 122",
            "address_purpose": "LOCATION",
            "city": "E Ellijay",
            "state": "GA",
            "postal_code": "305408196",
            "country_code": "US",
            "telephone_number": "706-635-6898",
            "fax_number": "706-374-7628",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "528 Broad St SE Ste B",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "30501",
            "country_code": "US",
            "telephone_number": "770-287-0290",
            "fax_number": "770-287-7597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "MARTHA",
        "middle_name": "VECKER",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-06",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Bell McIlvenna, LMSW
• Camille Marie McIntosh-Gray, P.T.
• Cindy McKee, LPC
• Jennifer Hall McKenzie, FNP-C
• Marla McKenzie
• Taylor McKibbens, R.N.
• Chalonda McKinley
• Jonita Leandra McKinney
• Tiffany McKinnie, M.D
• McLarencare Physical Therapy - Lawrenceville LLC (FYZICAL Therapy & Balance Centers - Lawrenceville Sugarloaf)

• Clinical Social Worker in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2019; 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.