Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda Leatherman Mackie, LICSW

Individual provider Clinical Social Worker · NPI 1952522450

Amanda Leatherman Mackie, LICSW is a Clinical Social Worker in Mankato, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
In the registry since
2007
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

306 Byron St
Mankato, MN 56001-3846
Phone: (507) 344-3360
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 17224 (MN)

Record details

NPI number1952522450
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 1, 2010

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