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Mackenzie A Amic , MSW, LSW

Social Worker β€’ Canton, OH

Active NPI 1073143020 Individual Practitioner Female Practitioner
Practice location in NPPES

601 Cleveland Ave Nw
Canton, OH 447021836

Call 3304550374 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

601 Cleveland Ave Nw

Canton, OH 447021836

Telephone 3304550374
Fax 3304536716
Organization at the Same NPPES Address or Phone
Beyond Our Boundaries, Llc Facility NPI 1831492842

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Weirton, WV. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Canton and Ohio

199 active clinicians are listed under Social Worker with a practice address in Canton, OH (11,336 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

0% of these 199 clinicians have the CMS telehealth indicator.

0.5% of these 199 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-08-31
Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

License # reported to NPPES OH S2004653

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0387993 (OH)

Secondary Practice Locations

3158 West St

Weirton, WV 260624637

Phone: 3047977733

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Krishnan Sivaram , MD

Psychiatry & Neurology - Psychiatry

NPI 1144293176

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 31, 2020

Registered at 601 CLEVELAND AVE NW, CANTON, OH 447021836 (Tel: 3304550374)

πŸ“
Updated Business Mailing Address August 31, 2020

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304550374)

πŸ‘€
Provider Name / Credentials Updated August 31, 2020

Recorded as MACKENZIE AMIC, MSW, LSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2020

Social Worker (license number reported to NPPES: OH S2004653)

βœ…
NPI Profile Active January 17, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) January 17, 2020

Registered at 3158 WEST ST, WEIRTON, WV 260624637 (Tel: 3047977733)

πŸ“
Business Mailing Address (Initial Record) January 17, 2020

Registered at 32 GRANDVIEW AVE, HICKORY, PA 153401121 (Tel: 3304075535)

πŸ‘€
Provider Name / Credentials (Initial Record) January 17, 2020

Recorded as MACKENZIE AMIC, MSW, LGSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 17, 2020

Social Worker

🟒
Initial NPI Registration & Enumeration January 17, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1073143020
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2020
Last Update: August 31, 2020
Sole Proprietor: No

Other Social Workers in Canton

Healthcare providers in Canton

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.