KENNETH MACKIE LCSW
NPI 1619249158
Social Worker - Clinical in Corvallis, OR

Q: What is Kenneth Mackie's NPI number?

The NPI number for Kenneth Mackie is 1619249158. It was assigned to this individual provider in the NPPES registry on January 30, 2012.

Q: What is Kenneth Mackie's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Mackie was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since January 30, 2012PECOS EnrolledAccepts Medicare Assignment

4185 SW RESEARCH WAY, CORVALLIS, OR 97333(541) 766-6767(541) 766-6186 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 9, 2025, Sep 26, 2016 (2 updates tracked since 2016).

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About Kenneth Mackie Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH MACKIE LCSW (NPI 1619249158) is an individual clinical provider in Corvallis, Oregon, licensed in Oregon (L7080) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1619249158

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameKENNETH MACKIECredential: LCSW

Location Address4185 SW RESEARCH WAYCorvallis, OR 97333-1783

Mailing AddressPo Box 579Corvallis, OR 97339-0579 · (541) 766-6767

Phone(541) 766-6767

Fax(541) 766-6186

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateJanuary 30, 2012

Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1619249158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in OR · L7080

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4185 SW RESEARCH WAY, Corvallis, OR 97333

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, PacificSource Health Plans, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kenneth Mackie Lcsw 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.

PECOS PAC ID9032477807

PECOS Enrollment IDI20260623001958

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97333 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.96 – $166.64

Typical copayment $0.00 (range $13.74 – $41.66)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA ALVARADO

Counselor (Mental Health)