Individual provider · Type 1 NPI

Kenneth Mackie, LCSW

Clinical Social Worker · Corvallis, OR

NPI number 1619249158 Active

Practice location

4185 SW Research Way
Corvallis, OR 97333-1783

Call (541) 766-6767 Map

Fax (541) 766-6186

Mailing address

PO Box 579
Corvallis, OR 97339-0579

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL7080 (OR)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1619249158

Kenneth Mackie, LCSW's National Provider Identifier is 1619249158, issued on Jan 30, 2012. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Corvallis, OR. The record was last updated on Jul 9, 2025.