Provider Demographics
NPI:1316530769
Name:SCARFF, MACKENZIE K (LCSW-C)
Entity type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:K
Last Name:SCARFF
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3066 WHITEFORD RD
Mailing Address - Street 2:
Mailing Address - City:PYLESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21132-1212
Mailing Address - Country:US
Mailing Address - Phone:443-504-7966
Mailing Address - Fax:
Practice Address - Street 1:502 WASHINGTON AVE STE 725
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4121
Practice Address - Country:US
Practice Address - Phone:410-417-7259
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD208711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical