MCKENZIE LITAKER (LICSW) – Social Worker, NPI 1093561409

MCKENZIE LITAKER (LICSW) is a healthcare provider. based in Deatsville, Alabama. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 5716C (AL). The NPI Number for MCKENZIE LITAKER (LICSW) is 1093561409

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MCKENZIE LITAKER (LICSW)
NPI
1093561409
Phone
(334) 322-9758
Address
5551 DEATSVILLE HWY
Enumeration Date
26 April 2024
Last Update Date
26 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3349546010
Graduation Year
2017 (9 years ago)
PAC ID
2769824671
Group Practice PAC ID
0648534537
Professional Enrollment ID
I20240523001843
Address ID
AL361178053MO7475XDRXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

390 CLINICAL SOCIAL WORKER in AL

Provider Addresses for MCKENZIE LITAKER (LICSW)

  • 5551 DEATSVILLE HWY

    DEATSVILLE, AL 360226011

    Phone: (334) 322-9758

    Type: Mailing

  • 7475 HALCYON POINTE DR

    MONTGOMERY, AL 361178053

    Phone: (334) 954-6010

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-05-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240523001843IClinical Social WorkerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36022)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648534537View full group profile
NameSpecialtyState
Nurse PractitionerAL
Mental Health CounselorAL
Clinical Social WorkerAL
Mental Health CounselorAL
Nurse PractitionerAL
Mental Health CounselorAL
Clinical Social WorkerAL
Nurse PractitionerAL
Mental Health CounselorAL
Clinical Social WorkerAL

Reviews

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Frequently asked questions

What unique ID ties claims to MCKENZIE LITAKER (LICSW)?
NPI 1093561409 is assigned to MCKENZIE LITAKER (LICSW) under the national enumeration system.
Is MCKENZIE LITAKER (LICSW)'s NPI currently valid?
The extract we use shows MCKENZIE LITAKER (LICSW) as active.
Does MCKENZIE LITAKER (LICSW) list a primary specialty?
If you are matching referrals, note Social Worker for MCKENZIE LITAKER (LICSW). Clinical services aligned with this taxonomy classification.
What location shows for MCKENZIE LITAKER (LICSW)?
We surface Deatsville, Alabama for MCKENZIE LITAKER (LICSW) based on available NPPES addresses.
What if Deatsville, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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