CAROLE MACKENZIE LCSW (NPI# 1063812527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063812527 |
| Entity Type | Organization |
| Organization Name | CAROLE MACKENZIE LCSW |
| Practice Address |
674 Prospect Ave Hartford CT 06105-4288 |
| Practice Telephone | 8602317373 |
| Practice Fax Number | 8602335736 |
| Mailing Telephone | 8602317373 |
| Mailing Fax Number | 8602335736 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-11-04 |
| Authorized Official Name | PROF. CAROLE HOLABIRD MACKENZIE (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 8602317373 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
002083 | CT | Ambulatory Health Care Facilities |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
002083 | CT | Behavioral Health & Social Service Providers |
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
002083 | CT | Ambulatory Health Care Facilities |
| Street Address |
674 PROSPECT AVE |
| City | HARTFORD |
| State | CT |
| Zip Code | 06105-4288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447235361 | Hank S Lerner | Counselor | 674 Prospect Ave, Hartford, CT 06105-4288 | 2005-12-13 |
| 1598264780 | Annette O'neill | Social Worker | 674 Prospect Ave, Hartford, CT 06105 | 2018-02-02 |
| 1760917538 | Isabel Logan | Social Worker | 674 Prospect Ave, 206, Hartford, CT 06105-4288 | 2017-04-28 |
| 1841697695 | Carole Mackenzie | Social Worker | 674 Prospect Ave, Hartford, CT 06105-4288 | 2014-11-21 |
| 1275974321 | Greater Hartford Psychiatric Services, LLC | Psychiatry & Neurology | 674 Prospect Ave, Hartford, CT 06105-4288 | 2013-07-17 |
| 1457681447 | Leslie A Mcardle | Social Worker | 674 Prospect Ave, Hartford, CT 06105-4288 | 2010-01-13 |
| 1144453325 | Joseph Brown | Psychologist | 674 Prospect Ave, Hartford, CT 06105-4288 | 2009-09-03 |
| 1386800530 | Bella Marisa Weinstein | Social Worker | 674 Prospect Ave, Apt J, Hartford, CT 06105-4288 | 2008-08-06 |
| 1467575076 | Yvonne Miceli | Marriage & Family Therapist | 674 Prospect Ave, Hartford, CT 06105-4288 | 2007-04-09 |
| 1033231626 | Allan L. Schiffer | Psychologist | 674 Prospect Ave, Hartford, CT 06105-4288 | 2007-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155939 | Pruthwy R Addanki | Student in an Organized Health Care Education/Training Program | Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2020-05-15 |
| 1700447802 | Samuel Flynn | Student in an Organized Health Care Education/Training Program | 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 | 2019-06-28 |
| 1730743568 | Turab J Mohammed | Student in an Organized Health Care Education/Training Program | Saint Francis Hospital Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2019-04-26 |
| 1164900387 | Breanne Ferrara | Social Worker | 43 Wooland St, Hartford, CT 06105 | 2018-07-31 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1356839062 | Jaimy Villavicencio | Student in an Organized Health Care Education/Training Program | 100 Asylum Avenue, Suite 1004, Hartford, CT 06105 | 2018-04-27 |
| 1750885679 | Brittany Bird | Student in an Organized Health Care Education/Training Program | 839-841 Asylum Avenue, Hartford, CT 06105 | 2018-03-23 |
| 1972032241 | Ashley Nicole Mills | Student in an Organized Health Care Education/Training Program | 896 Asylum Ave, 3rd Floor, Hartford, CT 06105 | 2017-06-08 |
| 1528506847 | Samuel Agyei | Social Worker | 291 Collins St, Hartford, CT 06105 | 2017-02-07 |
| 1841735818 | Katie Strahowski | Nurse Practitioner | 85 Gillett Street, Clean Slate, Hartford, CT 06105 | 2016-12-30 |
| Find all providers in zip 06105 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841362795 | The Village for Families & Children, Inc. | Clinic/Center | 1680 Albany Avenue, Hartford, CT 06105-1001 | 2006-11-15 |
| 1861624256 | Catholic Charities | Clinic/Center | 45 Wadsworth St, Hartford, CT 06106-7108 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780195339 | Rachel Collins, Lpc | Clinic/Center | 410 State St Rm 1, North Haven, CT 06473-3149 | 2017-10-22 |
| 1376054148 | Joann Flynn LLC. | Clinic/Center | 3 Swanswood Ln, Old Lyme, CT 06371-1867 | 2017-10-19 |
| 1942723036 | Kellys Kids, Inc | Clinic/Center | 9 Spring Rd, Prospect, CT 06712-1522 | 2017-07-20 |
| 1295256840 | B.e.a.u.t.y, LLC | Clinic/Center | 824 Main St Ste F, Manchester, CT 06040-6048 | 2017-07-05 |
| 1518413442 | Community Partners In Action | Clinic/Center | 995 Sherman Ave, Hamden, CT 06514-1144 | 2016-08-31 |
| 1952760803 | Darbonshire, LLC | Clinic/Center | 304 Wahackme Rd, New Canaan, CT 06840-3936 | 2016-02-21 |
| 1760738025 | Psychologist Adriana L Gonzalez Phd Pllc | Clinic/Center | 85 Hillcrest Terrace, Meriden, CT 06450 | 2012-07-24 |
| 1497025035 | Ct Clinical Services, Inc. | Clinic/Center | 189 Orange St, New Haven, CT 06510-2014 | 2012-01-12 |
| 1093950032 | Yale Parenting and Child Conduct Clinic | Clinic/Center | 314 Prospect St, New Haven, CT 06511-2187 | 2008-12-04 |
| 1710185731 | Waterford Country School, Inc. | Clinic/Center | 78 Hunts Brook Rd, Quaker Hill, CT 06375-1009 | 2007-07-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CAROLE MACKENZIE LCSW.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.