MIKENZIE MCKIMMIE LCSWA
NPI 1972218444
Social Worker - Clinical in Fayetteville, NC

Active since January 19, 2023PECOS Enrolled
2935 BREEZEWOOD AVE STE 103, FAYETTEVILLE, NC 28303(910) 491-1758 Get Directions Write a Review

NPPES record last updated: January 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mikenzie Mckimmie Lcswa NPPES

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

MIKENZIE MCKIMMIE LCSWA (NPI 1972218444) is an individual clinical provider in Fayetteville, North Carolina, licensed in North Carolina (P018601) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972218444
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMIKENZIE MCKIMMIECredential: LCSWA
Location Address2935 BREEZEWOOD AVE STE 103Fayetteville, NC 28303-5498
Mailing Address2935 Breezewood Ave Ste 103Fayetteville, NC 28303-5498 · (910) 491-1758
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 19, 2023
NPPES CertifiedJanuary 19, 2023
NPI 1972218444 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 NC · P018601
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.

2935 BREEZEWOOD AVE STE 103, Fayetteville, NC 28303

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mikenzie Mckimmie Lcswa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1254837099
PECOS Enrollment IDI20251001001583
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 28303 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 $54.12 – $165.09
Typical copayment $0.00 (range $13.53 – $41.27)
Most-billed visit code NA
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
2935 BREEZEWOOD AVE STE 103
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
2935 BREEZEWOOD AVE STE 103
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
2935 BREEZEWOOD AVE STE 103
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
2935 BREEZEWOOD AVE STE 103
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
2935 BREEZEWOOD AVE STE 103
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
2935 BREEZEWOOD AVE STE 103
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
2935 BREEZEWOOD AVE STE 103
FAYETTEVILLE, NC 28303
Social Worker (Clinical)
2935 BREEZEWOOD AVE STE 103
FAYETTEVILLE, NC 28303

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 Mikenzie Mckimmie's NPI number?

The NPI number for Mikenzie Mckimmie is 1972218444. It was assigned to this individual provider in the NPPES registry on January 19, 2023.

Where is Mikenzie Mckimmie located?

Mikenzie Mckimmie practices at 2935 Breezewood Ave Ste 103, Fayetteville, NC 28303. The listed phone number is (910) 491-1758.

What is Mikenzie Mckimmie's specialty?

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

Is Mikenzie Mckimmie enrolled in Medicare?

Yes. Mikenzie Mckimmie is registered in the Medicare PECOS enrollment system.

What insurance does Mikenzie Mckimmie accept?

Health plans from Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Mikenzie Mckimmie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mikenzie Mckimmie was last updated on January 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.