Doctor Name: | ROCKY GENE MACY |
NPI Number: | 1184606436 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW, LCSW |
License Number: | 2004016336 |
Business Practice Address: | 550 Pope Ave Munson Army Health Center Fort Leavenworth, KS - 660272332 |
Business Phone Number: | 9136846775 |
Business Fax Number: | |
Mailing Address: | 1101 S Broadway St, Apt. C LEAVENWORTH |
State: | KS |
Postal Code: | 660483115 |
Phone Number: | 9132970898 |
Fax Number: | |
NPI Enumeration Date: | 11/14/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 2004016336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |