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

Crystal Mackinnon, LCSW

Individual provider Clinical Social Worker · NPI 1275812372

Crystal Mackinnon, LCSW is a Clinical Social Worker in Groton, Connecticut. Qualified in 2011, 15 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
15
Licensed in
CT
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

See every abbreviation used in this directory →

Practice location Address checks out

428 Long Hill Rd Ste 201
Groton, CT 06340-3811
Phone: (860) 333-8765
Fax: (833) 204-4896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 008709 (CT)

Record details

NPI number1275812372
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedAugust 8, 2011
Last updated in NPPESMarch 5, 2021
Certification dateMarch 5, 2021
Mailing address428 Long Hill Rd Ste 201, Groton, CT 06340-3811

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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