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

Individual provider Social Worker · NPI 1801002142

Mackenzie R Pherigo, LCSW, CADC is a Social Worker in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.
CADC — Certified Alcohol and Drug Counselor
A certified addiction counsellor.

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Practice location Address checks out

2148 Vadalabene Dr
Maryville, IL 62062-5632
Phone: (618) 288-3100
Fax: (618) 288-3371
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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 149.013008 (IL)
Social Worker Taxonomy 104100000X · Licence 150.009882 (IL)

Record details

NPI number1801002142
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW , CADC
Sole proprietorNo
NPI enumeratedMay 15, 2007
Last updated in NPPESJune 18, 2008

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