Mackenna, Kathleen

Mackenna, Kathleen is an sole proprietor health care provider with primary practice located at 6 Caryl Pl , Kings Park NY 11754-2919. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mackenna, Kathleen can be contacted via phone (631) 766-3026.

Contact Information

Primary practice address
6 Caryl Pl Kings Park NY 11754-2919
Phone: (631) 766-3026
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 084830-1 New York

Profile Details

NPI number 1073049334
LBN Legal business name Mackenna, Kathleen
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2017
Last updated May 5th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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