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MACKENZIE FEZZA
NPI 1407796600
Social Worker - Clinical in St Augustine, FL

Active since March 30, 2026Opted out of Medicare · through Jul 13, 2028
33 BETHESDA CT, ST AUGUSTINE, FL 32084(732) 552-9242 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Mackenzie Fezza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MACKENZIE FEZZA (NPI 1407796600) is an individual clinical provider in St Augustine, Florida and active in the NPI registry since March 2026. She has opted out of Medicare through July 13, 2028.

NPPES Registry Identity

NPI1407796600
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMACKENZIE FEZZA
Location Address33 BETHESDA CTSt Augustine, FL 32084-0159
Mailing Address33 Bethesda CtSt Augustine, FL 32084-0159
Phone(732) 552-9242
Sole ProprietorYes
Enumeration DateMarch 30, 2026
NPPES CertifiedMarch 30, 2026
✔ NPI 1407796600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
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.
33 BETHESDA CT, St Augustine, FL 32084
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mackenzie Fezza has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 13, 2026 through July 13, 2028.

Opt-Out Effective DateJuly 13, 2026
Opt-Out In Effect ThroughJuly 13, 2028Opt-out affidavits renew automatically every two years unless cancelled

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mackenzie Fezza's NPI number?

The NPI number for Mackenzie Fezza is 1407796600. It was assigned to this individual provider in the NPPES registry on March 30, 2026.

Where is Mackenzie Fezza located?

Mackenzie Fezza practices at 33 Bethesda Ct, St Augustine, FL 32084. The listed phone number is (732) 552-9242.

What is Mackenzie Fezza's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mackenzie Fezza enrolled in Medicare?

No. Mackenzie Fezza has opted out of Medicare through July 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mackenzie Fezza was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.