Individual provider Active NPI

Mackenzie Jo Tafil, LMSW

  • Clinical Social Worker
  • Zeeland, MI
National Provider Identifier
1982136438
Registry record updated Sep 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801109951 Issued in MI
Practice address
8333 Felch St
Zeeland, MI 49464-2608
Phone
(616) 748-2850
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2025

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 6801109951 MI Primary

Addresses

Primary practice location

8333 Felch St
Zeeland, MI 49464-2608

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560
Phone (616) 486-6790

Other names 1

  • Mackenzie Jo Vandermei Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250530002591 MI Practitioner - Clinical Social Worker 6204345473 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801109951MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newaygo County General Hospital Association CurrentSince Sep 22, 2025 Accepting new patients
Pennock Hospital CurrentSince Sep 22, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Sep 22, 2025 Accepting new patients
Spectrum Health Primary Care Partners CurrentSince Sep 22, 2025 Accepting new patients
Newaygo County General Hospital Association CurrentSince Sep 22, 2025 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Sep 22, 2025 Accepting new patients
Memorial Medical Center of West Michigan CurrentSince Sep 22, 2025 Accepting new patients
Pennock Hospital CurrentSince Sep 22, 2025 Accepting new patients
D a Blodgett-St Johns Clinical PastSince Nov 1, 2019 Accepting new patients
Kent County CMH Authority Past Accepting new patients
Thresholds Inc PastSince Jul 26, 2010 Accepting new patients

Locations

212 S Sullivan Ave
Fremont, MI 49412
Phone (231) 924-1212

100 Michigan St NE
#845
Grand Rapids, MI 49503
Phone (616) 391-8242

1005 W Green St
Ste 300
Hastings, MI 49058
Phone (269) 948-8411

1 Atkinson Dr
Ludington, MI 49431
Phone (231) 843-2591

2111 12 Mile Rd NW
Sparta, MI 49345
Phone (616) 391-8470

8333 Felch St
Zeeland, MI 49464
Phone (616) 741-3790

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758499200000",
    "number": "1982136438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560",
            "telephone_number": "616-486-6790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 FELCH ST",
            "city": "ZEELAND",
            "state": "MI",
            "postal_code": "494642608",
            "telephone_number": "616-748-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAFIL",
        "first_name": "MACKENZIE",
        "middle_name": "JO",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801109951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MACKENZIE",
            "last_name": "VANDERMEI",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Zeeland, MI

Sources for this page

Verify at the official NPI Registry.