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General NPI Number Information
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NPI Number | 1851493662
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Entity Type | Individual
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Provider Name | CATHY MARIE MACKIEWICZ MSW, LCSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 7430 US HIGHWAY 42 SUITE 211
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City | FLORENCE
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State | KY
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Zip | 41042-1989
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Country | US
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Telephone | 859-512-8083
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Fax |
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Provider Business Mailing Address
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Address Line | 7430 US HIGHWAY 42 SUITE 211
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City | FLORENCE
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State | KY
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Zip | 41042-1989
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Country | US
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Telephone | 859-512-8083
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | KY 948
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | I-4740
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License Number State | OH
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