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MACKENZIE R PHERIGO LCSW, CADC
NPI 1801002142
Social Worker - Clinical in Maryville, IL

Active since May 15, 2007
2148 VADALABENE DR, MARYVILLE, IL 62062(618) 288-3100(618) 288-3371 Get Directions Write a Review

NPPES record last updated: June 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mackenzie R Pherigo Lcsw, Cadc NPPES

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

MACKENZIE R PHERIGO LCSW, CADC (NPI 1801002142) is an individual clinical provider in Maryville, Illinois, licensed in Illinois (149.013008) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1801002142
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMACKENZIE R PHERIGOCredential: LCSW, CADC
Location Address2148 VADALABENE DRMaryville, IL 62062-5632
Mailing Address2148 Vadalabene DrMaryville, IL 62062-5632 · (618) 288-3100 · Fax (618) 288-3371
Phone(618) 288-3100
Fax(618) 288-3371
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateJune 18, 2008
✔ NPI 1801002142 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 IL · 149.013008
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 150.009882 (IL)
2148 VADALABENE DR, Maryville, IL 62062
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Other Providers at the Same Location NPPES 17

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

MISS VICTORIA ANN LISTON BSW, CADC
Social Worker
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-3100
CHESTNUT HEALTH SYSTEMS, INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-3100
CHESTNUT HEALTH SYSTEMS INC.
Substance Abuse Rehabilitation Facility
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 877-4420
MRS. REBECCA LEIGH SALAH MA, LCPC
Counselor (Addiction (Substance Use Disorder))
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-3100
NICHOLAS BAUDER APN
Nurse Practitioner (Family)
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 877-4420
CHESTNUT HEALTH SYSTEMS, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 877-4420
MR. KOLIN SMITH B.S. CADC
Counselor (Addiction (Substance Use Disorder))
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-3100
MS. JAMIE LEE GARMAN BA,CARS
Counselor (Addiction (Substance Use Disorder))
2148 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 288-3100

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 Pherigo's NPI number?

The NPI number for Mackenzie Pherigo is 1801002142. It was assigned to this individual provider in the NPPES registry on May 15, 2007.

Where is Mackenzie Pherigo located?

Mackenzie Pherigo practices at 2148 Vadalabene Dr, Maryville, IL 62062. The listed phone number is (618) 288-3100.

What is Mackenzie Pherigo's specialty?

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

When was this NPI record last updated?

The NPPES record for Mackenzie Pherigo was last updated on June 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.