McKenzie Dearing, MSW
Individual provider Active NPI Clinical Social Worker · Clinton, UT
NPI 1922770841 · NPPES record last updated Sep 29, 2021
Key facts
- NPI
- 1922770841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 1477 N 2000 W
Clinton, UT 84015-8638 - Phone
- (801) 773-4865
- NPI assigned
- Sep 29, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CMC Healthcare LLC
Practice addresses (Care Compare)
4600 Frontage Rd
Hillside, IL 60162-1703
Phone (708) 544-9933
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250327000708 | IL | Practitioner - Clinical Social Worker | 2062869316 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Healthcare LLC | Current |
Accepting new patients |
Locations
2451 W Touhy Ave
Chicago, IL 60645
Phone (312) 593-5599
2201 Main St
Evanston, IL 60202
Phone (847) 905-3000
4600 Frontage Rd
Hillside, IL 60162
Phone (708) 544-9933
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | UT | Yes |
Addresses
Primary practice location
1477 N 2000 W
Clinton, UT 84015-8638
Mailing address
1477 N 2000 W
Clinton, UT 84015-8638
Phone (801) 773-4865
Other providers in Clinton, UT
- Marcus Cressall
- Alyssa Crowe
- Markie Cummins
- Debra Jo Dahl
- Kirsten Daly
- Tyler Carnahan Dixon
- Dodd & Associates, Inc.
- Ronald Gary Drescher
- Melissa Eggertsen
- Emissary LLC
All providers in Clinton, UT · Clinical Social Worker in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.