National Provider Identifier
Elizabeth A Mackinnon, LCSW-R
Elizabeth A Mackinnon, LCSW-R is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 428-0648.
Profile Overview
- NPI
- 1104002807
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- January 14, 2008
- Last Updated
- January 14, 2008
Practice Location
- 290 Aldine St
- Rochester, NY 14619-1235
Phone: (585) 428-0648
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1104002807
- Entity Type
- Individual
- Last Name
- Mackinnon
- First Name
- Elizabeth
- Middle Name
- A
- Name Prefix
- MS.
- Credential
- LCSW-R
- Mailing Street Address
- 290 Aldine St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14619-1235
- Mailing Country
- US
- Mailing Phone
- (585) 428-0648
- Practice Street Address
- 290 Aldine St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14619-1235
- Practice Country
- US
- Practice Phone
- (585) 428-0648
- Enumeration Date
- January 14, 2008
- Last Updated
- January 14, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)