KRISTINA WOODWARD MACKIE MSW, LCSW
NPI 1780870998
Social Worker - Clinical in Montclair, CA

Q: What is Kristina Woodward Mackie's NPI number?

The NPI number for Kristina Woodward Mackie is 1780870998. It was assigned to this individual provider in the NPPES registry on September 20, 2007.

Q: What is Kristina Woodward Mackie's specialty?

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

Active since September 20, 2007PECOS Enrolled

5330 SAN BERNARDINO ST, MONTCLAIR, CA 91763(909) 399-3751 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2021, Aug 31, 2017 (2 updates tracked since 2017).

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About Kristina Woodward Mackie Msw, Lcsw NPPES

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

KRISTINA WOODWARD MACKIE MSW, LCSW (NPI 1780870998) is an individual clinical provider in Montclair, California, licensed in California (LCSW #27104) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780870998

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKRISTINA WOODWARD MACKIECredential: MSW, LCSW

Location Address5330 SAN BERNARDINO STMontclair, CA 91763-2952

Mailing Address9500 Etiwanda AveRancho Cucamonga, CA 91739-9662 · (909) 463-5234

Phone(909) 399-3751

Sole ProprietorYes

Enumeration DateSeptember 20, 2007

Last NPPES UpdateDecember 6, 20212 updates tracked since enumeration

NPPES CertifiedDecember 6, 2021

✔ NPI 1780870998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · LCSW #27104✔ Licensed in CA · ASW 22155

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.

5330 SAN BERNARDINO ST, Montclair, CA 91763

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kristina Woodward Mackie Msw, Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91763 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 $59.60 – $179.42

Typical copayment $0.00 (range $14.90 – $44.85)

Most-billed visit code NA

Established Patient

$74.08 typical visit price

range $19.37 – $146.42

Typical copayment $18.52 (range $4.84 – $36.60)

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 10

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

BENZION ISA PEREZ

Marriage & Family Therapist