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

Kristin Sara Mackinnon, LICSW

Individual provider Social Worker · NPI 1689007577

Kristin Sara Mackinnon, LICSW is a Clinical Social Worker in Bellevue, Washington. Qualified in 2012, 14 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
14
Licensed in
CA, WA
In the registry since
2013
Specialties on file
2
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

1231 116th Ave NE Ste 400
Bellevue, WA 98004-3804
Phone: (425) 289-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 275 Bronson Way Ne, Renton, WA 98056-4030 — (425) 235-2800

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence LW60675085 (WA)
Social Worker Taxonomy 104100000X · Licence 35323 (CA)

Record details

NPI number1689007577
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 14, 2013
Last updated in NPPESAugust 28, 2023
Certification dateAugust 28, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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