MEDICARE: MACKENZIE DANZER LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	CW022788	PA

General Provider Information

NPI Number	:	1881456572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MACKENZIE DANZER LCSW

Provider Business Mailing Address
First Line	:	1134 LIBERTY ST
Second Line	:
City	:	FRANKLIN
State	:	PA
Zip	:	16323-1223
Country	:	US
Telephone Number	:	814-388-5001
Fax Number	:

Provider Business Practice Location Address
First Line	:	1134 LIBERTY ST
Second Line	:
City	:	FRANKLIN
State	:	PA
Zip	:	16323-1223
Country	:	US
Telephone Number	:	814-388-5001
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	04/22/2025

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Directions to “ MACKENZIE DANZER LCSW” Practice Location

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