Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen Chamisa Mackenzie, MSW

Individual provider Adult Mental Health Clinic/Center · NPI 1831638659

Kathleen Chamisa Mackenzie, MSW is a Clinical Social Worker in Ann Arbor, Michigan. Qualified in 2014, 12 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2017
Specialties on file
2
What do these letters mean?
MSW — Master of Social Work
The graduate degree in social work.

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Practice location Address checks out

202 E Washington St Ste 401
Ann Arbor, MI 48104-2017
Phone: (734) 926-8162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801097665 (MI)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X · Licence 6801097665 (MI)

Record details

NPI number1831638659
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSW
Sole proprietorYes
NPI enumeratedFebruary 13, 2017
Last updated in NPPESSeptember 14, 2021
Certification dateSeptember 14, 2021
Mailing address202 E Washington St Ste 401, Ann Arbor, MI 48104-2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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