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Contact Information

CATHERINE S MACKENZIE, MA LCSW
444 SOUTH ADAMS ST
SUITE 6
GREEN BAY, WI54301
 Phone: 715-526-5466
 Fax: 715-526-5545
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for CATHERINE S MACKENZIE · (Female)

NPI # 1184717092
Status Active
Credentials MA LCSW
Entity Individual
Enumeration date 10/02/2006
Last updated 06/30/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 2261-123
  • WI License # 2261123
  • WI Medicaid 39737500
  • Other 11661651 CAQH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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