Individual provider Active NPI

Mackenzie George

  • Clinical Social Worker
  • Mount Vernon, KY
National Provider Identifier
1881227668
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
140 Newcomb Ave
Mount Vernon, KY 40456-2725
Phone
(606) 256-7466
Fax
(606) 256-8065
NPI assigned
Feb 19, 2020
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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 Primary

Addresses

Primary practice location

140 Newcomb Ave
Mount Vernon, KY 40456-2725

Mailing address

140 Newcomb Ave
Mount Vernon, KY 40456-2725
Phone (606) 256-7466

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20220624001872 KY Practitioner - Clinical Social Worker 2668851452 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rockcastle County Hospital, Inc. CurrentSince Jul 15, 2023 Accepting new patients
Rockcastle Ventures Inc. Doing Business As Rockcastle Clinic Current Accepting new patients
Rockcastle County Hospital, Inc. CurrentSince Jul 15, 2023 Accepting new patients
Cumberland River Behavioral Health, Inc CurrentSince Jun 8, 2022 Accepting new patients

Locations

704 Pitzer St
Barbourville, KY 40906
Phone (606) 546-3104

610 American Greeting Card Rd
Corbin, KY 40701
Phone (606) 526-9552

134 Comprehensive Dr
Harlan, KY 40831
Phone (606) 573-1624

915 N Laurel Rd
London, KY 40741
Phone (606) 864-2104

565 Muddy Gap Rd
Manchester, KY 40962
Phone (606) 598-5172

1348 Highway 421 N
McKee, KY 40447
Phone (606) 287-7137

324 N 19th St
Middlesboro, KY 40965
Phone (606) 248-4949

140 Newcomb Ave
Mount Vernon, KY 40456
Phone (606) 256-3232

215 W Tennessee Ave
Pineville, KY 40977
Phone (606) 337-6137

285 Cemetery Rd
Williamsburg, KY 40769
Phone (606) 549-1440

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1881227668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562725",
            "telephone_number": "606-256-7466",
            "fax_number": "606-256-8065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 NEWCOMB AVE",
            "city": "MOUNT VERNON",
            "state": "KY",
            "postal_code": "404562725",
            "telephone_number": "606-256-7466",
            "fax_number": "606-256-8065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, KY

Sources for this page

Verify at the official NPI Registry.