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NPI Code Detail

MEDICARE: MACKENZIE LEE HIGGINS MSW

MEDICARE: MACKENZIE LEE HIGGINS MSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW-23487AZ

General Provider Information

NPI Number : 1245086396
Entity Type Code : Individual
Provider Name (Legal Business Name) : MACKENZIE LEE HIGGINS MSW
Provider Business Mailing Address
First Line : 1100 E BELL RD APT 2022
Second Line :
City : PHOENIX
State : AZ
Zip : 85022-3177
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2222 W PINNACLE PEAK RD STE 220
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-1224
Country : US
Telephone Number : 480-674-9220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/29/2024
Last Update Date : 12/18/2025

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