National Provider Identifier

Mackenzie Rose Shanahan, MSW

Mackenzie Rose Shanahan, MSW is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (631) 603-4756.

NPI 1811725583Buffalo, NYCounselor

Profile Overview

NPI
1811725583
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
July 24, 2024
Last Updated
July 24, 2024

Practice Location

  • 1412 Sweet Home RD Ste 7
  • Buffalo, NY 14228-2795

Phone: (631) 603-4756

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1811725583
Entity Type
Individual
Last Name
Shanahan
First Name
Mackenzie
Middle Name
Rose
Credential
MSW
Mailing Street Address
1412 Sweet Home RD Ste 7
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14228-2795
Mailing Country
US
Practice Street Address
1412 Sweet Home RD Ste 7
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14228-2795
Practice Country
US
Practice Phone
(631) 603-4756
Enumeration Date
July 24, 2024
Last Updated
July 24, 2024
Sex
Female
Sole Proprietor
No
Certification Date
July 24, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)