Individual provider · Type 1 NPI

Jill Alane Poppe Mackenzie, JD, LSW

Clinical Social Worker · Centerville, OH

NPI number 1033622691 Active

Practice location

955 Congress Park Dr
Centerville, OH 45459-4009

Call (937) 269-3047 Map

Mailing address

628 Loxwood Ln
Dayton, OH 45458-6301

Other practice locations

  • 118 W Jackson St, West Unity, OH 43570-9643 · (419) 221-2821
  • 1219 Jefferson Ave, Toledo, OH 43604-5836 · (419) 221-2821
  • 3103 W Elm St, Lima, OH 45805-2516 · (419) 221-2821
  • 7573 Northam Dr, Dayton, OH 45459-8716 · (952) 240-6060

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XS1451150 (OH)
Social Worker 104100000XS1451150 (OH)
Clinical Social Worker Primary 1041C0700XS1451150 (OH)

Clinical Social Worker: 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 interpers…

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About NPI 1033622691

Jill Alane Poppe Mackenzie, JD, LSW's National Provider Identifier is 1033622691, issued on Nov 6, 2017. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Centerville, OH. The record was last updated on Oct 10, 2024.