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

Mackenzie Wallis, LCSW

Individual provider Clinical Social Worker · NPI 1275030611

Mackenzie Wallis, LCSW is a Clinical Social Worker in Coral Gables, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2018
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

2355 Salzedo St Ste 311
Coral Gables, FL 33134-5061
Phone: (719) 321-2790
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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 SW13508 (FL)

Record details

NPI number1275030611
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorYes
NPI enumeratedApril 11, 2018
Last updated in NPPESApril 11, 2018
Mailing address7540 Sw 59th Ct Apt 8, South Miami, FL 33143-5147

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