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

Mackenzie Fezza

Individual provider Clinical Social Worker · NPI 1407796600

Mackenzie Fezza is a Clinical Social Worker in St Augustine, Florida. Practices as a sole proprietor. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

33 Bethesda Ct
St Augustine, FL 32084-0159
Phone: (732) 552-9242
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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

Record details

NPI number1407796600
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 30, 2026
Last updated in NPPESMarch 30, 2026
Certification dateMarch 30, 2026
Mailing address33 Bethesda Ct, St Augustine, FL 32084-0159

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