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

Kenneth Mackie, LCSW

Individual provider Clinical Social Worker · NPI 1619249158

Kenneth Mackie, LCSW is a Clinical Social Worker in Corvallis, Oregon. Qualified in 1994, 32 years ago. Accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
32
Licensed in
OR
In the registry since
2012
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

4185 SW Research Way
Corvallis, OR 97333-1783
Phone: (541) 766-6767
Fax: (541) 766-6186
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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 L7080 (OR)

Record details

NPI number1619249158
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorNo
NPI enumeratedJanuary 30, 2012
Last updated in NPPESJuly 9, 2025
Certification dateJuly 9, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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