MALLORY MACKIE LICSW
NPI 1114426764
Social Worker - Clinical in University Place, WA
About Mallory Mackie Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MALLORY MACKIE LICSW (NPI 1114426764) is an individual clinical provider in University Place, Washington, licensed in Washington (LW61032154) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mallory Mackie Licsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mallory Mackie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
University Place, WA 98466
- Reassigned Medicare billing, Washington enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98466 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Mallory Mackie's NPI number?
The NPI number for Mallory Mackie is 1114426764. It was assigned to this individual provider in the NPPES registry on February 9, 2018.
Where is Mallory Mackie located?
Mallory Mackie practices at 2701 Sylvan Dr W, University Place, WA 98466. The listed phone number is (253) 241-2287.
What is Mallory Mackie's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Mallory Mackie enrolled in Medicare?
Yes. Mallory Mackie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mallory Mackie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mallory Mackie reassigns Medicare benefits to Mallory Mackie PLLC (University Place, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mallory Mackie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mallory Mackie accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Mallory Mackie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mallory Mackie was last updated on September 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mallory Mackie, LICSW · NPI 1114426764
Clinical provider in University Place, Washington. Individual provider, active in the CMS NPPES registry since February 9, 2018.
## Identity
- **NPI:** 1114426764 (Entity type: Individual)
- **Enumerated:** February 9, 2018
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** LW61032154 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2701 SYLVAN DR W, University Place, WA 98466-2740
- **Phone:** (253) 241-2287
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mallory Mackie PLLC (NPI 1942921952, University Place, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** September 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1114426764) · Data from the CMS NPPES public registry.