Mackenzie Fezza
NPI 1407796600ActiveIndividual· Social Worker, Clinical· St Augustine, FL
Opted out of Medicare from July 2026 to July 2028. Social Worker, Clinical in St Augustine, Florida, with an NPI issued in March 2026.
Overview
| NPI | 1407796600 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 30, 2026 |
| Last updated in NPPES | Mar 30, 2026 |
| Certified by provider | Mar 30, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Jul 13, 2026 – Jul 13, 2028 |
| Can order and refer | No |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
Other clinical social workers in St Augustine
- 1063496453
- 1093398547
- 1134526510
- 1174343511
- 1174761118
- 1215260609
- 1497594311
- 1568757458
- 1629417472
- 1659666543
- 1679012439
- 1710384813
All 97 clinical social workers in St Augustine · All clinical social workers in Florida