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

Tara Nicole Mackie, LCSW

Individual provider Clinical Social Worker · NPI 1730773490

Tara Nicole Mackie, LCSW is a Clinical Social Worker in Fontana, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
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

17284 Slover Ave # 105
Fontana, CA 92337-7584
Phone: (909) 609-3848
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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 99719 (CA)

Record details

NPI number1730773490
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 23, 2021
Last updated in NPPESFebruary 23, 2021
Certification dateFebruary 23, 2021

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