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Mackenzie Nicole Hogan, MSW, CSW

Social Worker in Lexington, KY. Individual provider (NPI-1).

NPI number1366091407
StatusActive
Last updated in NPPESJun 25, 2025

Details

NPI
1366091407
Entity type
Individual (NPI-1)
Name
Mackenzie Nicole Hogan
Credential
MSW, CSW
Sex
Female
Sole proprietor
No
Enumeration date
Sep 11, 2019
Certification date
Jun 25, 2025
Last updated
Jun 25, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker255894KYYes
104100000X Social Worker––

Practice location

4030 Tates Creek Rd Apt 2963
Lexington, KY 40517-3093

Phone 513-659-9128

Mailing address

4030 Tates Creek Rd Apt 2963
Lexington, KY 40517-3093

Phone 513-659-9128

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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