1. Home
  2. Directory
  3. New York
  4. Gansevoort
  5. Social Worker
  6. NPI Profile

MCKENZIE BROEKSTRA LSW; LMSW
NPI 1790383966
Social Worker in Gansevoort, NY

Active since October 11, 2020PECOS EnrolledAccepts Medicare Assignment
6 ANYHOW LN, GANSEVOORT, NY 12831(616) 446-3126 Get Directions Write a Review

NPPES record last updated: October 11, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mckenzie Broekstra Lsw; Lmsw NPPES

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

MCKENZIE BROEKSTRA LSW; LMSW (NPI 1790383966) is an individual social worker in Gansevoort, New York, licensed in Colorado (LSW.0009922840) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790383966
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMCKENZIE BROEKSTRACredential: LSW; LMSW
Location Address6 ANYHOW LNGansevoort, NY 12831-1710
Mailing Address6 Anyhow LnGansevoort, NY 12831-1710 · (616) 446-3126
Phone(616) 446-3126
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 11, 2020
NPPES CertifiedOctober 10, 2020
✔ NPI 1790383966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in CO · LSW.0009922840
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
6 ANYHOW LN, Gansevoort, NY 12831
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mckenzie Broekstra Lsw; Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628599537
PECOS Enrollment IDI20250307002705
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Mckenzie Broekstra's NPI number?

The NPI number for Mckenzie Broekstra is 1790383966. It was assigned to this individual provider in the NPPES registry on October 11, 2020.

Where is Mckenzie Broekstra located?

Mckenzie Broekstra practices at 6 Anyhow Ln, Gansevoort, NY 12831. The listed phone number is (616) 446-3126.

What is Mckenzie Broekstra's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Mckenzie Broekstra enrolled in Medicare?

Yes. Mckenzie Broekstra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mckenzie Broekstra was last updated on October 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.