Mackenzie Peterson
Mackenzie Peterson is a Clinical Social Worker in Truckee, California. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 3
Practice location Address checks out
11209 Brockway Rd # C306Truckee, CA 96161-2221
Phone: (928) 208-0444
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
| Day Training/Habilitation Specialist | Taxonomy 373H00000X |
Record details
| NPI number | 1447086970 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 11, 2024 |
| Last updated in NPPES | June 22, 2026 |
| Certification date | June 22, 2026 |
| Mailing address | 11209 Brockway Rd # C306, Truckee, CA 96161-2221 |
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Amy Jennifer Phillips, LCSW
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