Provider Demographics
NPI:1518627926
Name:ROONEY, MACKENZIE (LMSW, CSW-INTERN)
Entity Type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:
Last Name:ROONEY
Suffix:
Gender:F
Credentials:LMSW, CSW-INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 S CENTER ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89501-2103
Mailing Address - Country:US
Mailing Address - Phone:775-444-7492
Mailing Address - Fax:
Practice Address - Street 1:350 S CENTER ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89501-2103
Practice Address - Country:US
Practice Address - Phone:775-444-7492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-27
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
9753-M104100000X
NVIC-19271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker