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Mrs. Amy Sue Mckenzie

Addiction Counselor (Substance Use Disorder) Clinical Social Worker

1205 North Ave
Cleveland , Wisconsin 53015-1413

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Image

Mrs. Amy Sue Mckenzie

Addiction Counselor (Substance Use Disorder) Clinical Social Worker

1205 North Ave
Cleveland , Wisconsin 53015-1413

(920) 693-5604

Write a Review Save Call

Mrs. Amy Sue Mckenzie

Addiction Counselor (Substance Use Disorder) Clinical Social Worker

1205 North Ave
Cleveland , Wisconsin 53015-1413

(920) 693-5604 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Addiction Counselor (Substance Use Disorder)
  • Clinical Social Worker

Languages spoken

  • English

Location

1205 North Ave Cleveland , Wisconsin 53015-1413

First Address

  • Mrs. Amy Sue Mckenzie
  • 1205 North Ave
  • Cleveland, WI
  • Zip : 53015-1413
  • Fax : (920) 693-5604
  • Phone : (920) 693-5600

Second Address

  • Mrs. Amy Sue Mckenzie
  • 1205 North Ave
  • Cleveland, WI
  • Zip : 53015-1413
  • Fax : (920) 693-5604
  • Phone : (920) 693-5600

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FAQs


Where did Mrs. Amy Sue Mckenzie attend graduate school?

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Where did Mrs. Amy Sue Mckenzie do her residency?

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Where did Mrs. Amy Sue Mckenzie do her fellowship?

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Is Mrs. Amy Sue Mckenzie board certified?

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What type of doctor is Mrs. Amy Sue Mckenzie

Clinical Social Worker

In what state does Mrs. Amy Sue Mckenzie practice in?

Wisconsin

Where is Mrs. Amy Sue Mckenzie ’s practice located?

1205 North Ave , Cleveland, Wisconsin, 53015-1413

What is Mrs. Amy Sue Mckenzie ’s gender?

Female

Is Mrs. Amy Sue Mckenzie a sole practitioner?

No

Is Mrs. Amy Sue Mckenzie accepting new patients?

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What languages does Mrs. Amy Sue Mckenzie speak?

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Does Mrs. Amy Sue Mckenzie accept insurance?

Yes, Mrs. Amy Sue Mckenzie accepts insurance

Does Mrs. Amy Sue Mckenzie offers telemedicine?

Mrs. Amy Sue Mckenzie has not indicated if she offers telemedicine

What is Mrs. Amy Sue Mckenzie ’s professional license number?

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What is Mrs. Amy Sue Mckenzie ’s NPI number?

1013010024

Does Mrs. Amy Sue Mckenzie have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 101YA0400X Addiction Counselor (Substance Use Disorder) 13279 WI
Y 1041C0700X Clinical Social Worker 1239-123 WI

National Provider Identifier

NPI 1013010024
Provider Name Mrs. Amy Sue Mckenzie
First Address Cleveland, WI 53015-1413
Second Address Cleveland, WI 53015-1413
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 06/09/2006
Last Update Date 28/02/2008

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
42194800 (05) WI

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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