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

Mackenzie Blake Treadwell, LCSW

Individual provider Social Worker · NPI 1215518386

Mackenzie Blake Treadwell, LCSW is a Social Worker in Ridgeland, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.

Licensed in
MS
In the registry since
2021
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

197 Charmant Pl Ste 2
Ridgeland, MS 39157-4352
Phone: (601) 707-5550
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence C11413 (MS)

Record details

NPI number1215518386
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 19, 2021
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

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