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MAKENZIE PACOCHA LCSW
NPI 1740907575
Social Worker - Clinical in Philadelphia, PA

Active since October 24, 2022Opted out of Medicare · through Feb 27, 2028
2517 W GIRARD AVE, PHILADELPHIA, PA 19130(267) 704-4133 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 4, 2024, Oct 24, 2022 (2 updates tracked since 2022).

About Makenzie Pacocha Lcsw NPPES

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

MAKENZIE PACOCHA LCSW (NPI 1740907575) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW023794) and active in the NPI registry since October 2022. She has opted out of Medicare through February 27, 2028.

NPPES Registry Identity

NPI1740907575
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMAKENZIE PACOCHACredential: LCSW
Location Address2517 W GIRARD AVEPhiladelphia, PA 19130-1313
Mailing Address2517 W Girard AvePhiladelphia, PA 19130-1313 · (267) 704-4133
Phone(267) 704-4133
Sole ProprietorNo
Enumeration DateOctober 24, 2022
Last NPPES UpdateNovember 4, 20242 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
✔ NPI 1740907575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in PA · CW023794
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.
Also ListedSocial WorkerTaxonomy 104100000X · License SW137591 (PA)
2517 W GIRARD AVE, Philadelphia, PA 19130
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Makenzie Pacocha Lcsw 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 February 27, 2024 through February 27, 2028.

Opt-Out Effective DateFebruary 27, 2024
Opt-Out In Effect ThroughFebruary 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATRINA L CARROLL-HASKINS
Art Therapist
2517 W GIRARD AVE
PHILADELPHIA, PA 19130
Philadelphia County (267) 306-1327
CASSIDY FLYNN
Art Therapist
2517 W GIRARD AVE
PHILADELPHIA, PA 19130
Philadelphia County (267) 507-1692

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 Makenzie Pacocha's NPI number?

The NPI number for Makenzie Pacocha is 1740907575. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Makenzie Pacocha located?

Makenzie Pacocha practices at 2517 W Girard Ave, Philadelphia, PA 19130. The listed phone number is (267) 704-4133.

What is Makenzie Pacocha's specialty?

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

Is Makenzie Pacocha enrolled in Medicare?

No. Makenzie Pacocha has opted out of Medicare through February 27, 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 Makenzie Pacocha was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.