Mackenzie Vivian McCowen, LLBSW
Case Manager/Care Coordinator in Kalamazoo, MI. Individual provider (NPI-1).
NPI number1457090367
StatusActive
Last updated in NPPESMay 31, 2022
Details
- NPI
- 1457090367
- Entity type
- Individual (NPI-1)
- Name
- Miss Mackenzie Vivian McCowen
- Credential
- LLBSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 31, 2022
- Certification date
- May 31, 2022
- Last updated
- May 31, 2022
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | 6852093336 | MI | Yes |
Practice location
5340 Holiday Ter Ste 9Kalamazoo, MI 49009-2196
Phone 269-381-4446 · Fax 269-381-4457
Mailing address
785 Charlie Ct Apt 3dPortage, MI 49002-7926
Phone 269-501-5282
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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