National Provider Identifier

Mackenzie Kruger, LMSW

Mackenzie Kruger, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 816-2302.

NPI 1073362968Buffalo, NYSocial Worker

Profile Overview

NPI
1073362968
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
May 14, 2024
Last Updated
May 14, 2024

Practice Location

  • 400 Forest Ave
  • Buffalo, NY 14213-1207

Phone: (716) 816-2302

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1073362968
Entity Type
Individual
Last Name
Kruger
First Name
Mackenzie
Credential
LMSW
Provider Other Last Name
Kruger
Provider Other First Name
Mackenzie
Provider Other Middle Name
Lyn
Provider Other Name Prefix Text
Mrs.
Provider Other Credential Text
LMSW
Provider Other Last Name Type Code
2
Mailing Street Address
400 Forest Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-1207
Mailing Country
US
Mailing Phone
(716) 816-2302
Practice Street Address
400 Forest Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-1207
Practice Country
US
Practice Phone
(716) 816-2302
Enumeration Date
May 14, 2024
Last Updated
May 14, 2024
Sex
Female
Sole Proprietor
Yes
Certification Date
May 14, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)