Mallory Mackie PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MALLORY MACKIE PLLC

Practice address

2701 Sylvan Dr W
University Place, WA 98466-2740

Phone

(253) 241-2287

NPI assigned

Sep 7, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mallory Mackie, LICSWNPI 1114426764

Title

Owner

Phone

(253) 241-2287

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mallory Mackie, LICSW

  • Clinical Social Worker
  • University Place, WA
  • NPI 1114426764
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1942921952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 SYLVAN DR W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984662740",
            "telephone_number": "253-241-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 SYLVAN DR W",
            "city": "UNIVERSITY PLACE",
            "state": "WA",
            "postal_code": "984662740",
            "telephone_number": "253-241-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALLORY MACKIE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "MACKIE",
        "authorized_official_first_name": "MALLORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-241-2287",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Macmillan
• Eileen E Magargee
• Magic Massage LLC
• Anna Malewicz, MSW
• Marla Mallatt, RN
• Mary Salve Manajero, LPN
• Cortney Manning-Tripp
• Erin Elaine Manning
• Kristie K Marbut, ARNP
• Jenna Marie Mariotti, LMP

• Clinical Social Worker in University Place, WA
• Providers in University Place, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.