Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mackenzie Lyn Ayers , LCSW

Social Worker - Clinical β€’ Chantilly, VA

Active NPI 1396388690 Individual Practitioner Female Practitioner
Practice location in NPPES

25460 Stallion Branch Ter
Chantilly, VA 201525809

Call 5713908999 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

25460 Stallion Branch Ter

Chantilly, VA 201525809

Telephone 5713908999
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Herndon, VA. 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

2019

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 Chantilly and Virginia

48 active clinicians are listed under Social Worker - Clinical with a practice address in Chantilly, VA (8,039 in Virginia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chantilly

2.1% of these 48 clinicians have the CMS telehealth indicator.

16.7% of these 48 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: 2021-06-30
Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES VA 0904011072

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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: Virginia Department of Health Professions.
Look Up on State Board Site

Secondary Practice Locations

2579 John Milton Dr Ste 210

Herndon, VA 201712564

Phone: 7032144924

Career & Practice History Timeline

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

9 Historical Events
πŸ“
Updated Business Mailing Address June 30, 2021

Registered at 4410 BROOKFIELD CORPORATE DRIVE, #220941, CHANTILLY, VA 201538034 (Tel: 5713908999)

πŸ“
Updated Practice Location November 17, 2020

Registered at 25460 STALLION BRANCH TER, CHANTILLY, VA 201525809 (Tel: 5713908999)

πŸ“
Updated Business Mailing Address November 17, 2020

Registered at 1602 BELLE VIEW BLVD # 5049, ALEXANDRIA, VA 223076531 (Tel: 7033908999)

βœ…
NPI Profile Active October 21, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 21, 2019

Registered at 2579 JOHN MILTON DR STE 210, HERNDON, VA 201712564 (Tel: 7032144924)

πŸ“
Business Mailing Address (Initial Record) October 21, 2019

Registered at 2579 JOHN MILTON DR STE 210, HERNDON, VA 201712564

πŸ‘€
Provider Name / Credentials (Initial Record) October 21, 2019

Recorded as MACKENZIE AYERS, LCSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 21, 2019

Social Worker (license number reported to NPPES: VA 0904011072)

🟒
Initial NPI Registration & Enumeration October 21, 2019

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1396388690
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 21, 2019
Last Update: June 30, 2021
Sole Proprietor: Yes

Mailing Address

4410 Brookfield Corporate Drive, #220941

Chantilly, VA 201538034

Phone: 5713908999

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.