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

Mary L. Muckelroy, LCSW

Individual provider Clinical Social Worker · NPI 1437744885

Mary L. Muckelroy, LCSW is a Clinical Social Worker in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2021.

Licensed in
ID
In the registry since
2021
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

2825 S Meridian Rd # 150
Meridian, ID 83642-7960
Phone: (208) 297-9495
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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 8861451 (ID)

Record details

NPI number1437744885
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 8, 2021
Last updated in NPPESSeptember 17, 2025
Certification dateSeptember 17, 2025

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