Mackenzie Lyn Brossart, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

5427 Issued in ND

Practice address

1750 Market Dr Ste H
Dickinson, ND 58601-6181

Phone

(701) 456-1221

Fax

(888) 720-5313

NPI assigned

Mar 6, 2017

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

Other names 1

• Mackenzie Lyn Davis Former name

Medicare fee-for-service enrollment

Enrolled in ND

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

Specialty

Clinical Social Worker

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mindsets Matter

  • Clinical Social Worker
  • Dickinson, ND
  • NPI 1497619001
  Medicare reassignment NPD Authorized official
• Christina Jean Shockley, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dickinson, ND
  • NPI 1043824501
  Medicare reassignment
• ND Health Solutions PLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dickinson, ND
  • NPI 1982401527
  NPD

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

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1891235255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 15TH ST W # 117",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586013017",
            "telephone_number": "701-456-1221",
            "fax_number": "888-720-5313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 MARKET DR STE H",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016181",
            "telephone_number": "701-456-1221",
            "fax_number": "888-720-5313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROSSART",
        "first_name": "MACKENZIE",
        "middle_name": "LYN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-06",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ND",
            "license": "5427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "DAVIS",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jinny L Breschini
• Shelby Brewer
• Bright Connections LLC
• James M Brooke, MD
• Shad W Brophy, PA-C
• Elizabeth Rouene Brown, MD
• Jasmin Brown
• Tyrel Brown
• Allison Browning, CST-SSA
• Suzanne Bruels, RD

• Social Worker in Dickinson, ND
• Providers in Dickinson, ND by specialty
• Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.