National Provider Identifier
Shannon Elizabeth Mackey, LMSW
Shannon Elizabeth Mackey, LMSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Rochester, NY and a listed phone number of (585) 922-2697.
Profile Overview
- NPI
- 1306091657
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- November 28, 2008
- Last Updated
- November 28, 2008
Practice Location
- 490 E Ridge RD
- Rochester, NY 14621-1229
Phone: (585) 922-2697
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1306091657
- Entity Type
- Individual
- Last Name
- Mackey
- First Name
- Shannon
- Middle Name
- Elizabeth
- Credential
- LMSW
- Provider Other Last Name
- Mason
- Provider Other First Name
- Shannon
- Provider Other Middle Name
- Elizabeth
- Provider Other Credential Text
- LMSW
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 490 E Ridge RD
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621-1229
- Mailing Country
- US
- Practice Street Address
- 490 E Ridge RD
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621-1229
- Practice Country
- US
- Practice Phone
- (585) 922-2697
- Enumeration Date
- November 28, 2008
- Last Updated
- November 28, 2008
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)