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

Mackenzie Gangl, LICSW

Individual provider Clinical Social Worker · NPI 1346517786

Mackenzie Gangl, LICSW is a Clinical Social Worker in Brainerd, Minnesota. Licensed in Minnesota. Registered with an NPI since 2011.

Licensed in
MN
In the registry since
2011
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.

See every abbreviation used in this directory →

Practice location Address checks out

823 Maple St
Brainerd, MN 56401-3770
Phone: (320) 584-4121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 16191 (MN)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1346517786
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedNovember 30, 2011
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

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