Mackenzie Davignon
Counselor • Worcester, MA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Mackenzie Davignon has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Mackenzie Davignon was a registered Counselor practicing in Worcester, MA. Throughout an active medical career spanning 2 years, Mackenzie Davignon provided care at the practice location at 340 MAIN ST until profile deactivation on 2018-06-21.
Practice Location & Contact Primary Location
340 Main St
Suite 818
Worcester, MA 016081604
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Worcester, MA
Practicing in Worcester, MA (9162 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Social Worker - Clinical
Master of Social Work
Social Worker
Master of Arts
Counselor - Mental Health
Licensed Clinical Social Worker
Case Manager/Care Coordinator
Counselor
Counselor - Mental Health
Master of Arts
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on June 21, 2018
NPI status registered as active in NPPES database
Registered at 340 MAIN ST, SUITE 818, WORCESTER, MA 016081604 (Tel: 8605975356)
Registered at 1427 ROUTE 169, WOODSTOCK, CT 062811423 (Tel: 8605975356)
Recorded as MACKENZIE DAVIGNON
Counselor
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1427 Route 169
Woodstock, CT 062811423
Phone: 8605975356
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