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

Individual provider Clinical Social Worker · NPI 1114426764

Mallory Mackie, LICSW is a Clinical Social Worker in University Place, Washington. Qualified in 2013, 13 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2018
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

2701 Sylvan Dr W
University Place, WA 98466-2740
Phone: (253) 241-2287
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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 LW61032154 (WA)

Record details

NPI number1114426764
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorYes
NPI enumeratedFebruary 9, 2018
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022
Mailing address2701 Sylvan Dr W, University Place, WA 98466-2740

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in University Place