Mackenzie L. Taylor, LICSW
NPI 1114166337ActiveIndividual· Social Worker, Clinical· Longview, WA
Social Worker, Clinical (LICSW) in Longview, Washington, licensed in WA, with an NPI issued in February 2009. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1114166337 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LICSW |
| Sole proprietor | Yes |
| NPI issued | Feb 11, 2009 |
| Last updated in NPPES | May 7, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | LW60495001 | WA |
| Counselor | 101Y00000X | — | — |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WA) |
|---|
Education and affiliations
| Graduation year | 2011 |
|---|---|
| Medicare specialty | Clinical Social Worker |
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