Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MCKENZIE BROEKSTRA, LSW; LMSW
Active Sole ProprietorSocial Worker · GANSEVOORT, NY
Registration Details
- NPI Number
- 1790383966
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2020 (5.5912173559083 yrs)
- Last Updated
- Oct 11, 2020
- License
-
LSW.0009922840 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6 ANYHOW LNGANSEVOORT, NY, 128311710Browse NY providers · Browse ZIP 12831
- Phone
- 6164463126
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in GANSEVOORT, NY
| Name | Credential | NPI |
|---|---|---|
| DAVID WILLIAM PULLI | LMSW | 1154938058 |
| MORGAN LEE LARGO | LMSW | 1477258697 |
| EMMA MOSCATO | — | 1275403651 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.