Individual provider · Type 1 NPI

Tara Nicole Mackie, LCSW

Clinical Social Worker · Fontana, CA

NPI number 1730773490 Active

Practice location

17284 Slover Ave # 105
Fontana, CA 92337-7584

Call (909) 609-3848 Map

Mailing address

792 Vista Real St
Corona, CA 92879-7701

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X99719 (CA)

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 1730773490

Tara Nicole Mackie, LCSW's National Provider Identifier is 1730773490, issued on Feb 23, 2021. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fontana, CA. The record was last updated on Feb 23, 2021.