National Provider Identifier

Makenzie Marie Vansickle, LMSW

Makenzie Marie Vansickle, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Canandaigua, NY and a listed phone number of (585) 396-4363.

NPI 1740004761Canandaigua, NYSocial Worker

Profile Overview

NPI
1740004761
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
November 15, 2024
Last Updated
November 15, 2024

Practice Location

  • 3019 County Complex Dr
  • Canandaigua, NY 14424-9505

Phone: (585) 396-4363

Mailing Address

  • 3933 State Route 5&20
  • Canandaigua, NY 14424

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1740004761
Entity Type
Individual
Last Name
Vansickle
First Name
Makenzie
Middle Name
Marie
Credential
LMSW
Mailing Street Address
3933 State Route 5&20
Mailing City
Canandaigua
Mailing State
NY
Mailing ZIP Code
14424
Mailing Country
US
Mailing Phone
(315) 719-5337
Practice Street Address
3019 County Complex Dr
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-9505
Practice Country
US
Practice Phone
(585) 396-4363
Enumeration Date
November 15, 2024
Last Updated
November 15, 2024
Sex
Female
Sole Proprietor
No
Certification Date
November 13, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)