Healthcare Provider Details

I. General information

NPI: 1861368706
Provider Name (Legal Business Name): MCKENSEY HUFFMAN LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2603 STATE ROUTE 113 E
MILAN OH
44846-9420
US

IV. Provider business mailing address

149 E WATER ST
SANDUSKY OH
44870-2525
US

V. Phone/Fax

Practice location:
  • Phone: 419-499-3000
  • Fax:
Mailing address:
  • Phone: 419-502-2800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2512847
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: