Individual
MADISON ELIZABETH MCKENZIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1030 MONARCH ST STE 100, LEXINGTON, KY 40513-1820
(216) 468-5000
(216) 456-8128
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1459
(513) 834-7063
(513) 873-1567
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
252947
KY
1041C0700X
Clinical Social Worker
Primary
255476
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
05
—
7100721790
—
KY
Enumeration date
12/19/2017
Last updated
09/12/2023
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