Provider Demographics
NPI:1225483639
Name:SINKLER, MACKENZIE (LICSW, MPA)
Entity type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:
Last Name:SINKLER
Suffix:
Gender:F
Credentials:LICSW, MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 COUNTRY SIDE CIR
Mailing Address - Street 2:
Mailing Address - City:CALERA
Mailing Address - State:AL
Mailing Address - Zip Code:35040-5650
Mailing Address - Country:US
Mailing Address - Phone:225-754-2010
Mailing Address - Fax:
Practice Address - Street 1:340 COUNTRY SIDE CIR
Practice Address - Street 2:
Practice Address - City:CALERA
Practice Address - State:AL
Practice Address - Zip Code:35040-5650
Practice Address - Country:US
Practice Address - Phone:225-754-2010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 171M00000X
AL6265C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1467745000OtherNPI