Individual provider Active NPI

Mackenzie A Davis, LISW

  • Clinical Social Worker
  • Cincinnati, OH
National Provider Identifier
1922885706
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2304840-SUPV Issued in OH
Practice address
3147 Glendale Milford Rd
Cincinnati, OH 45241-3134
Phone
(513) 346-1270
Fax
(513) 346-1243
NPI assigned
Sep 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 257857 KY
Clinical Social Worker 1041C0700X I.2304840-SUPV OH Primary

Addresses

Primary practice location

3147 Glendale Milford Rd
Cincinnati, OH 45241-3134

Mailing address

3147 Glendale Milford Rd
Cincinnati, OH 45241-3134
Phone (513) 346-1270

Other practice location 1

6900 Houston Rd Ste 8
Florence, KY 41042-4891
Phone (859) 746-9322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250415000536 OH Practitioner - Clinical Social Worker 3072951482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth H LLCGroup PAC ID 1850570458, 850 clinicians

Practice addresses (Care Compare)

3147 Glendale Milford Rd
Suite 200
Cincinnati, OH 45241-3134
Phone (513) 246-7016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
257857KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Apr 21, 2025 Accepting new patients

Locations

3147 Glendale Milford Rd
Cincinnati, OH 45241
Phone (513) 346-1270

3147 Glendale Milford Rd
Ste 200
Cincinnati, OH 45241
Phone (513) 246-7016

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

Organizations & group practices 1

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": "1694563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1922885706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 GLENDALE MILFORD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452413134",
            "telephone_number": "513-346-1270",
            "fax_number": "513-346-1243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 GLENDALE MILFORD RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452413134",
            "telephone_number": "513-346-1270",
            "fax_number": "513-346-1243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Houston Rd Ste 8",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "KY",
            "postal_code": "410424891",
            "country_code": "US",
            "telephone_number": "859-746-9322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MACKENZIE",
        "middle_name": "A",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-13",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "257857",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2304840-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.