MACKENZIE RACHELLE DICKERSON LMSW
NPI 1821629395
Social Worker - Clinical in Grand Rapids, MI

Q: What is Mackenzie Dickerson's NPI number?

The NPI number for Mackenzie Dickerson is 1821629395. It was assigned to this individual provider in the NPPES registry on February 3, 2020. The provider is also known as Mackenzie Rachelle Bracey Lmsw.

Q: What is Mackenzie Dickerson's specialty?

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

Active since February 03, 2020PECOS EnrolledAccepts Medicare Assignment

4069 LAKE DR SE STE 315, GRAND RAPIDS, MI 49546(616) 267-7700 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2024, Feb 3, 2020 (2 updates tracked since 2020).

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About Mackenzie Rachelle Dickerson Lmsw NPPES

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

MACKENZIE RACHELLE DICKERSON LMSW (NPI 1821629395) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801102994) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1821629395

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMACKENZIE RACHELLE DICKERSONCredential: LMSW

Location Address4069 LAKE DR SE STE 315Grand Rapids, MI 49546-8816

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 267-7700

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateFebruary 3, 2020

Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1821629395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801102994

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.

4069 LAKE DR SE STE 315, Grand Rapids, MI 49546

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Other Names 1

Former Name (1)Mackenzie Rachelle Bracey Lmsw

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

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

Mackenzie Rachelle Dickerson 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 ID8729519913

PECOS Enrollment IDI20240927002998

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

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

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