Provider Demographics
NPI:1720674088
Name:BAQUES, MACKENZIE SPINKS (LCSW)
Entity type:Individual
Prefix:
First Name:MACKENZIE
Middle Name:SPINKS
Last Name:BAQUES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KENZIE
Other - Middle Name:SPINKS
Other - Last Name:RAMBICURE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW, LSW
Mailing Address - Street 1:1801 S CLAYTON ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3502
Mailing Address - Country:US
Mailing Address - Phone:720-449-7428
Mailing Address - Fax:
Practice Address - Street 1:1801 S CLAYTON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3502
Practice Address - Country:US
Practice Address - Phone:720-449-7428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-21
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.099287181041C0700X
CO0009923245104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker