Karleo L. McKenzie Sr., MSSA, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S1450845 Issued in OH

Practice address

34900 Chardon Rd Ste 200
Willoughby Hills, OH 44094-9161

Phone

(440) 951-5600

NPI assigned

Mar 15, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Diane Eden, MD & Associates, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Willoughby Hills, OH
  • NPI 1760449813
  NPD (past)
• Psychological & Behavioral Consultants, LLC

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  NPD (past)

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1851894893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4872 LINDSEY LN",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432928",
            "telephone_number": "216-288-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34900 CHARDON RD STE 200",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949161",
            "telephone_number": "440-951-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "KARLEO",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "MSSA, LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1450845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK LICENSE NUMBER",
            "identifier": "S1450845",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cherise McCaleb, LPN
• Connor McCarthy
• Tanisha McCloud
• Barbara McCurry, LPN
• Arriana McKenzie
• Christine McLaughlin
• Doug James McLaughlin, D.O.
• Shannon McLaughlin
• Ashleigh Melvin
• Nathan Merritt

• Social Worker in Willoughby Hills, OH
• Providers in Willoughby Hills, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.