Provider Demographics
NPI:1720674088
Name:RAMBICURE, MACKENZIE SPINKS (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:SPINKS
Last Name:RAMBICURE
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:KENZIE
Other - Middle Name:SPINKS
Other - Last Name:RAMBICURE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:8191 SOUTHPARK LN UNIT 201
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4641
Mailing Address - Country:US
Mailing Address - Phone:303-726-4560
Mailing Address - Fax:
Practice Address - Street 1:8191 SOUTHPARK LN UNIT 201
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4641
Practice Address - Country:US
Practice Address - Phone:303-726-4560
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-21
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009923245104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker